CLIA lab
CLIA 04D2126501: Mainline Eudora School Based Clinic
Eudora, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2126501 belongs to Mainline Eudora School Based Clinic in Eudora, AR.
Certificate of Waiver, effective February 28, 2025, expires February 27, 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
- February 28, 2025
- Certificate expiration
- February 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2017
- Facility type
- Federally qualified health center
- 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
- 04D2126501
- Lab name
- Mainline Eudora School Based Clinic
- Address
- 566 Mabry St, Eudora, AR 71640
- Phone
- (870) 538-5414
- Fax
- (870) 538-5412
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 Eudora School Based Clinic in Eudora?
04D2126501, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mainline Eudora School Based Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2126501 expire?
The CMS file lists February 27, 2027 as the certificate expiration date; the certificate took effect February 28, 2025.