15D2137056 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL D/B/A NORTH JUDSON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2137056
  • Facility Name: PULASKI MEMORIAL HOSPITAL D/B/A NORTH JUDSON FAMILY MEDICINE
  • Facility Address: 414 LANE ST
    NORTH JUDSON, IN
    ZIP 46366
  • Facility Phone: 574 896-4325
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MELISSA ZAHRT
  • NPI Number: 1831679620
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2137056
LAB Type Rural Health Clinic
Facility Name PULASKI MEMORIAL HOSPITAL D/B/A NORTH JUDSON FAMILY MEDICINE
Street 414 LANE ST
City NORTH JUDSON
State IN
ZIP 46366
Phone 574 896-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Rural Health Clinic
Lab Director MELISSA ZAHRT

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