15D0359050 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT WINAMAC

Laboratory Demographics

  • CLIA Code: 15D0359050
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT WINAMAC
  • Facility Address: 515 E 13TH STREET
    WINAMAC, IN
    ZIP 46996
  • Facility Phone: (574) 946-6143
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN KING
  • NPI Number: 1720017510
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0359050
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A HICKORY CREEK AT WINAMAC
Street 515 E 13TH STREET
City WINAMAC
State IN
ZIP 46996
Phone 5749466143
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 LAUREN KING

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This page was last updated on: 5/18/2026