13D2313807 CLIA NUMBER - ST LUKE'S CARDIOLOGY RESEARCH BOISE

Laboratory Demographics

  • CLIA Code: 13D2313807
  • Facility Name: ST LUKE'S CARDIOLOGY RESEARCH BOISE
  • Facility Address: 300 E JEFFERSON STE R
    BOISE, ID
    ZIP 83712
  • Facility Phone: 208 814-9029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN NOLAN
  • NPI Number: 1114301181
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 13D2313807
LAB Type Physician Office
Facility Name ST LUKE'S CARDIOLOGY RESEARCH BOISE
Street 300 E JEFFERSON STE R
City BOISE
State ID
ZIP 83712
Phone 208 814-9029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director BRIAN NOLAN

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