CLIA lab
CLIA 15D2170744: Pulaski Memorial Hospital Knox Medical Clinic
Knox, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2170744 belongs to Pulaski Memorial Hospital Knox Medical Clinic in Knox, IN.
Certificate of Waiver, effective August 19, 2025, expires August 18, 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 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2019
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2170744
- Lab name
- Pulaski Memorial Hospital Knox Medical Clinic
- Address
- 2 S Pearl Street, Knox, IN 46534
- Phone
- (574) 207-5050
- Fax
- (574) 207-5002
Annual test volume the lab reported
- Waived tests
- 311
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Knox, IN
- Bella Vita Pregnancy CenterCertificate of Waiver, Mobile lab15D2326992
- Brickyard Healthcare - Knox Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0669956
- Community Home Care ServicesCertificate of Waiver, Home health agency15D2178823
- Hickory House Recovery at KnoxCertificate of Waiver, Other15D2331198
- Knox Hosp Co, Llc/Dba Starke HospCertificate of Accreditation, Hospital15D0356753
- Knox Winamac Community Health Centers IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center15D0923453
- La Porte Clinic Company, LLC D/B/A NorthwestCertificate for Provider-Performed Microscopy Procedures, Physician office15D0948194
- La Porte Clinic Company, LLC D/B/A NorthwestCertificate of Waiver, Physician office15D1104070
- Liberty Dialysis-Duneland LLCCertificate of Waiver, End stage renal disease dialysis facility15D1059016
- Maple Leaf Health and WellnessCertificate of Waiver, Public health laboratory15D2326890
Related
Questions
What is the CLIA number for Pulaski Memorial Hospital Knox Medical Clinic in Knox?
15D2170744, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pulaski Memorial Hospital Knox Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2170744 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.