15D0358981 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT ROCHESTER

Laboratory Demographics

  • CLIA Code: 15D0358981
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT ROCHESTER
  • Facility Address: 340 EAST 18TH STREET
    ROCHESTER, IN
    ZIP 46975
  • Facility Phone: 574 223-5100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FRIEDA ANN LUTHER
  • NPI Number: 1699704486
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358981
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT ROCHESTER
Street 340 EAST 18TH STREET
City ROCHESTER
State IN
ZIP 46975
Phone 574 223-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FRIEDA ANN LUTHER

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