04D2106576 CLIA NUMBER - MAINLINE HEALTH SYSTEM INC HAMBURG SCHOOL

Laboratory Demographics

  • CLIA Code: 04D2106576
  • Facility Name: MAINLINE HEALTH SYSTEM INC HAMBURG SCHOOL
  • Facility Address: 206 SOUTH BARTLETT
    HAMBURG, AR
    ZIP 71646
  • Facility Phone: 870 653-9851
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. KERRY F. PENNINGTON
  • NPI Number: 1033584586
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2106576
LAB Type School/Student Health Service
Facility Name MAINLINE HEALTH SYSTEM INC HAMBURG SCHOOL
Street 206 SOUTH BARTLETT
City HAMBURG
State AR
ZIP 71646
Phone 870 653-9851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type School/Student Health Service
Lab Director DR. KERRY F. PENNINGTON

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