ST LUKES REFERENCE LABORATORY
NPI 1093109100
Clinical Medical Laboratory in Boise, ID

NPI Status: Active since March 26, 2015

Contact Information

3176 S DENVER WAY
BOISE, ID
ZIP 83705
Phone: (208) 706-5000

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 13D2018947
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-27-2028

About ST LUKES REFERENCE LABORATORY

This page provides the complete NPI Profile along with additional information for St Lukes Reference Laboratory, a provider established in Boise, Idaho operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1093109100 assigned on March 2015. The practitioner's primary taxonomy code is 291U00000X with license number 6919 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as St Lukes Reference Laboratory. The authorized official of this NPI record is Jeff Taylor (Treasurer/cfo)

NPI
1093109100
Provider Legal Name
ST LUKES REGIONAL MEDICAL CENTER
Other Organization Name
ST LUKES REFERENCE LABORATORY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3176 S DENVER WAY BOISE, ID 83705
Location Phone
(208) 706-5000
Mailing Address
PO BOX 2777 BOISE, ID 83701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2015
Last Update Date
03-26-2015
Code Navigator

Establishments like St Lukes Reference Laboratory are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
6919
License State
ID
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF TAYLOR

Authorized Official Title
TREASURER/CFO
Authorized Official Phone
(208) 381-2520

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2018947
Facility Type
Hospital
Certificate Effective Date
March 28, 2026
Certificate Expiration Date
March 27, 2028
Laboratory Director
DR. MATTHEW A. BURTELOW
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St Lukes Reference Laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093109100, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 2 + 0 + 1 + 8 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1093109100.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Emergency Medicine
3176 S DENVER WAY
BOISE, ID 83705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093109100, enumerated as an "organization" on March 26, 2015.

The provider is located at 3176 S DENVER WAY BOISE, ID 83705 and the phone number is (208) 706-5000.

Clinical Medical Laboratory with taxonomy code 291U00000X.