15D2272038 CLIA NUMBER - PULASKI MEMORIAL HOSPITAL CULVER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 15D2272038
  • Facility Name: PULASKI MEMORIAL HOSPITAL CULVER MEDICAL CENTER
  • Facility Address: 232 S MAIN STREET, SUITE A
    CULVER, IN
    ZIP 46511
  • Facility Phone: 574 946-2584
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIM DAY
  • NPI Number: 1952026015
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2272038
LAB Type Physician Office
Facility Name PULASKI MEMORIAL HOSPITAL CULVER MEDICAL CENTER
Street 232 S MAIN STREET, SUITE A
City CULVER
State IN
ZIP 46511
Phone 574 946-2584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director TIM DAY

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