CLIA lab
CLIA 15D0358981: Pulaski Memorial Hospital D/B/A Hickory
Rochester, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0358981 belongs to Pulaski Memorial Hospital D/B/A Hickory in Rochester, IN.
Certificate of Waiver, effective March 29, 2026, expires March 28, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 29, 2026
- Certificate expiration
- March 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D0358981
- Lab name
- Pulaski Memorial Hospital D/B/A Hickory
- Additional name
- Creek at Rochester
- Address
- 340 East 18th Street, Rochester, IN 46975
- Phone
- (574) 223-5100
- Fax
- (574) 224-5100
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Hickory Creek at RochesterCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pulaski Memorial Hospital D/B/A Hickory in Rochester?
15D0358981, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pulaski Memorial Hospital D/B/A Hickory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0358981 expire?
The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.