13D2267433 CLIA NUMBER - ST LUKE'S CLINIC-INTERNAL MEDICINE MCCALL

Laboratory Demographics

  • CLIA Code: 13D2267433
  • Facility Name: ST LUKE'S CLINIC-INTERNAL MEDICINE MCCALL
  • Facility Address: 209 FOREST ST
    MCCALL, ID
    ZIP 83638
  • Facility Phone: 208 634-1776
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. LOOME
  • NPI Number: 1235447970
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D2267433
LAB Type Community Clinic
Facility Name ST LUKE'S CLINIC-INTERNAL MEDICINE MCCALL
Street 209 FOREST ST
City MCCALL
State ID
ZIP 83638
Phone 208 634-1776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Community Clinic
Lab Director WILLIAM D. LOOME

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