13D0520606 CLIA NUMBER - ST LUKE'S ANTICOAGULATION CLINIC TWIN FALLS

Laboratory Demographics

  • CLIA Code: 13D0520606
  • Facility Name: ST LUKE'S ANTICOAGULATION CLINIC TWIN FALLS
  • Facility Address: 714 N COLLEGE RD
    TWIN FALLS, ID
    ZIP 83301
  • Facility Phone: 208 814-7375
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GARY MCOMBER
  • NPI Number: 1417330119
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 13D0520606
LAB Type Community Clinic
Facility Name ST LUKE'S ANTICOAGULATION CLINIC TWIN FALLS
Street 714 N COLLEGE RD
City TWIN FALLS
State ID
ZIP 83301
Phone 208 814-7375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Community Clinic
Lab Director GARY MCOMBER

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This page was last updated on: 9/29/2025