CLIA lab
CLIA 04D2124514: Mainline Health Systems - Hamburg High School
Hamburg, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2124514 belongs to Mainline Health Systems - Hamburg High School in Hamburg, AR.
Certificate of Waiver, effective January 19, 2025, expires January 18, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 19, 2025
- Certificate expiration
- January 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2017
- Facility type
- School or student health service
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2124514
- Lab name
- Mainline Health Systems - Hamburg High School
- Address
- 1119 South Main Street, Hamburg, AR 71646
- Phone
- (870) 853-9856
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Mainline Health Systems - Hamburg High School in Hamburg?
04D2124514, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mainline Health Systems - Hamburg High School hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2124514 expire?
The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.