CLIA lab
CLIA 13D2259169: ST Luke's Multispecialty Clinic-Ketchum
Ketchum, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2259169 belongs to ST Luke's Multispecialty Clinic-Ketchum in Ketchum, ID.
Certificate for Provider-Performed Microscopy Procedures, effective May 3, 2026, expires May 2, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 2022
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 13D2259169
- Lab name
- ST Luke's Multispecialty Clinic-Ketchum
- Address
- 100 Hospital Dr Ste 207, Ketchum, ID 83340
- Phone
- (208) 727-8888
- Fax
- (208) 727-8889
Annual test volume the lab reported
- Waived tests
- 5,000
- Provider-performed microscopy tests
- 500
- Total
- 5,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ketchum, ID
- Chateau DrugCertificate of Waiver, Pharmacy13D2150657
- Debbie Garratt Fnp-C PLLCCertificate of Waiver, Other practitioner13D2153969
- Idaho Skin CenterCertificate for Provider-Performed Microscopy Procedures, Physician office13D2212682
- Inner Health MDCertificate for Provider-Performed Microscopy Procedures, Physician office13D2110315
- Ketchum Family MedicineCertificate of Waiver, Other practitioner13D0960181
- Ketchum Fire DepartmentCertificate of Waiver, Ambulance13D2211244
- ST Luke's Clinic-ObstetricsCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2256456
- ST Luke's Family Medicine and UrologyCertificate for Provider-Performed Microscopy Procedures, Community clinic13D2204677
- ST Luke's Wood River DermatologyCertificate of Compliance, Physician office13D0933599
- ST Luke's Wood River Medical CenterCertificate of Accreditation, Hospital13D0520773
Related
Questions
What is the CLIA number for ST Luke's Multispecialty Clinic-Ketchum in Ketchum?
13D2259169, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Luke's Multispecialty Clinic-Ketchum hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 13D2259169 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.