13D0662992 CLIA NUMBER - ST LUKE'S BOISE REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 13D0662992
  • Facility Name: ST LUKE'S BOISE REGIONAL MEDICAL CENTER
  • Facility Address: ATTN LAB DIRECTOR 190 E BANNOCK ST
    BOISE, ID
    ZIP 83712
  • Facility Phone: 208 381-5071
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. DANIEL CLOETINGH
  • NPI Number: 1720487846
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D0662992
LAB Type Hospital
Facility Name ST LUKE'S BOISE REGIONAL MEDICAL CENTER
Street ATTN LAB DIRECTOR 190 E BANNOCK ST
City BOISE
State ID
ZIP 83712
Phone 208 381-5071
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. DANIEL CLOETINGH

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