CLIA lab
CLIA 15D0359050: Pulaski Memorial Hospital D/B/A Hickory Creek at
Winamac, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0359050 belongs to Pulaski Memorial Hospital D/B/A Hickory Creek at in Winamac, IN.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 1994
- 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
- 15D0359050
- Lab name
- Pulaski Memorial Hospital D/B/A Hickory Creek at
- Additional name
- Winamac
- Address
- 515 E 13th Street, Winamac, IN 46996
- Phone
- (574) 946-6143
- Fax
- (574) 946-6186
Annual test volume the lab reported
- Waived tests
- 6,500
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 WinamacCMS Care Compare ratings for the facility at the same street address
Other labs in Winamac, IN
- Premise Health of Indiana Medical, PCCertificate of Waiver, Physician office15D2241062
- Proactive MD - Eastern PulaskiCertificate of Waiver, Physician office15D2182076
- Pulaski Co Emergency Med ServicesCertificate of Waiver, Ambulance15D2099334
- Pulaski Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0891934
- Pulaski Memorial HospitalCertificate of Accreditation, Hospital15D0359044
- Pulaski Memorial HospitalCertificate of Waiver, Physician office15D1016288
- Qcc/Pulaski County JailCertificate of Waiver, Other15D2203356
- Safeguard Joy Home Health LLCCertificate of Waiver, Home health agency15D2321982
Related
Questions
What is the CLIA number for Pulaski Memorial Hospital D/B/A Hickory Creek at in Winamac?
15D0359050, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pulaski Memorial Hospital D/B/A Hickory Creek at hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0359050 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.