04D2068493 CLIA NUMBER - STAR CITY COMMUNITY HEALTH CENTER MAINLINE HEALTH SYSTEMS INC

Laboratory Demographics

  • CLIA Code: 04D2068493
  • Facility Name: STAR CITY COMMUNITY HEALTH CENTER MAINLINE HEALTH SYSTEMS INC
  • Facility Address: 110 NORTH DREW STREET
    STAR CITY, AR
    ZIP 71667
  • Facility Phone: 870 628-5110
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Accreditation
  • Lab Director: DR. KERRY F. PENNINGTON
  • NPI Number: 1578185252
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 04D2068493
LAB Type Federally Qualified Health Center
Facility Name STAR CITY COMMUNITY HEALTH CENTER MAINLINE HEALTH SYSTEMS INC
Street 110 NORTH DREW STREET
City STAR CITY
State AR
ZIP 71667
Phone 870 628-5110
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Federally Qualified Health Center
Lab Director DR. KERRY F. PENNINGTON

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This page was last updated on: 9/29/2025