CLIA lab

CLIA 15D1016288: Pulaski Memorial Hospital

Winamac, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D1016288 belongs to Pulaski Memorial Hospital in Winamac, IN.

Certificate of Waiver, effective August 25, 2025, expires August 24, 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
August 25, 2025
Certificate expiration
August 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 2003
Facility type
Physician office
Ownership (control type)
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
15D1016288
Lab name
Pulaski Memorial Hospital
Additional name
DBA Medical and Surgical Group
Address
540 Hospital Drive, Winamac, IN 46996
Phone
(574) 946-2147
Fax
(574) 946-2107

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Winamac, IN

Related

Questions

What is the CLIA number for Pulaski Memorial Hospital in Winamac?

15D1016288, 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 15D1016288 expire?

The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.

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