CLIA lab
CLIA 15D0958643: Pulaski Memorial Hospital
North Vernon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0958643 belongs to Pulaski Memorial Hospital in North Vernon, IN.
Certificate of Waiver, effective March 23, 2025, expires March 22, 2027.
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 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 1999
- 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
- 15D0958643
- Lab name
- Pulaski Memorial Hospital
- Additional name
- D/B/A Majestic Care of North Vernon
- Address
- 701 Henry St, North Vernon, IN 47265
- Phone
- (812) 346-9333
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Majestic Care of North VernonCMS 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 in North Vernon?
15D0958643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pulaski Memorial Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0958643 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.