15D2095757 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A BRIARCLIFF HEALTH & REHABILITATION C

Laboratory Demographics

  • CLIA Code: 15D2095757
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A BRIARCLIFF HEALTH & REHABILITATION C
  • Facility Address: 5024 WESTERN AVENUE
    SOUTH BEND, IN
    ZIP 46619
  • Facility Phone: 574 318-4600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER A. GILL
  • NPI Number: 1487044822
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2095757
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A BRIARCLIFF HEALTH & REHABILITATION C
Street 5024 WESTERN AVENUE
City SOUTH BEND
State IN
ZIP 46619
Phone 574 318-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTOPHER A. GILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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