15D2099334 CLIA NUMBER - PULASKI CO EMERGENCY MED SERVICES

Laboratory Demographics

  • CLIA Code: 15D2099334
  • Facility Name: PULASKI CO EMERGENCY MED SERVICES
  • Facility Address: 606 W SUMMIT ST
    WINAMAC, IN
    ZIP 46996
  • Facility Phone: 574 946-0360
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NATASHA DAUGHERTY
  • NPI Number: 1871784173
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2099334
LAB Type Ambulance
Facility Name PULASKI CO EMERGENCY MED SERVICES
Street 606 W SUMMIT ST
City WINAMAC
State IN
ZIP 46996
Phone 574 946-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Ambulance
Lab Director NATASHA DAUGHERTY

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