04D2266591 CLIA NUMBER - MAINLINE HEALTH SYSTEMS INC EAST END INTERMEDIATE SCHOOL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D2266591
  • Facility Name: MAINLINE HEALTH SYSTEMS INC EAST END INTERMEDIATE SCHOOL HEALTH CENTER
  • Facility Address: 5205 WEST SAWMILL
    LITTLE ROCK, AR
    ZIP 72206
  • Facility Phone: 870 942-7927
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KERRY PENNINGTON
  • NPI Number: 1225166762
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 04D2266591
LAB Type School/Student Health Service
Facility Name MAINLINE HEALTH SYSTEMS INC EAST END INTERMEDIATE SCHOOL HEALTH CENTER
Street 5205 WEST SAWMILL
City LITTLE ROCK
State AR
ZIP 72206
Phone 870 942-7927
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type School/Student Health Service
Lab Director KERRY PENNINGTON

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