04D2284822 CLIA NUMBER - MAINLINE HEALTH SYSTEMS INC WARREN ELEMENTARY SCHOOL CLINIC

Laboratory Demographics

  • CLIA Code: 04D2284822
  • Facility Name: MAINLINE HEALTH SYSTEMS INC WARREN ELEMENTARY SCHOOL CLINIC
  • Facility Address: 2018 LADY JACK DRIVE
    WARREN, AR
    ZIP 71671
  • Facility Phone: 870 226-6754
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. KERRY F. PENNINGTON
  • NPI Number: 1386322766
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2284822
LAB Type School/Student Health Service
Facility Name MAINLINE HEALTH SYSTEMS INC WARREN ELEMENTARY SCHOOL CLINIC
Street 2018 LADY JACK DRIVE
City WARREN
State AR
ZIP 71671
Phone 870 226-6754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type School/Student Health Service
Lab Director DR. KERRY F. PENNINGTON

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: 6/4/2025