04D2157774 CLIA NUMBER - MAINLINE HEALTH SYSTEMS RISON

Laboratory Demographics

  • CLIA Code: 04D2157774
  • Facility Name: MAINLINE HEALTH SYSTEMS RISON
  • Facility Address: 505 SYCAMORE ST
    RISON, AR
    ZIP 71665
  • Facility Phone: 870 325-6255
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Accreditation
  • Lab Director: DR. JAMIE EVANS
  • NPI Number: 1285105957
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2157774
LAB Type Federally Qualified Health Center
Facility Name MAINLINE HEALTH SYSTEMS RISON
Street 505 SYCAMORE ST
City RISON
State AR
ZIP 71665
Phone 870 325-6255
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 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Federally Qualified Health Center
Lab Director DR. JAMIE EVANS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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