15D0357486 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A HEALTHWIN HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 15D0357486
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A HEALTHWIN HEALTH & REHABILITATION
  • Facility Address: 20531 DARDEN RD
    SOUTH BEND, IN
    ZIP 46637
  • Facility Phone: 574 272-0100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BUD JOHNSON
  • NPI Number: 1093750119
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0357486
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A HEALTHWIN HEALTH & REHABILITATION
Street 20531 DARDEN RD
City SOUTH BEND
State IN
ZIP 46637
Phone 574 272-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BUD JOHNSON

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