15D0667520 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A MAJESTIC CARE OF DEMING PARK

Laboratory Demographics

  • CLIA Code: 15D0667520
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A MAJESTIC CARE OF DEMING PARK
  • Facility Address: 3300 POPLAR ST
    TERRE HAUTE, IN
    ZIP 47803
  • Facility Phone: (812) 235-6281
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIC P. EMERSON
  • NPI Number: 1558367052
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0667520
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A MAJESTIC CARE OF DEMING PARK
Street 3300 POPLAR ST
City TERRE HAUTE
State IN
ZIP 47803
Phone 8122356281
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 ERIC P. EMERSON

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