CLIA lab

CLIA 04D2150362: Hamburg Middle School Based Clinic

Hamburg, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2150362 belongs to Hamburg Middle School Based Clinic in Hamburg, AR.

Certificate of Waiver, effective June 22, 2026, expires June 21, 2028.

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
June 22, 2026
Certificate expiration
June 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 22, 2018
Facility type
School or student health service
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D2150362
Lab name
Hamburg Middle School Based Clinic
Additional name
Mainline Health Systems
Address
1109 Club Drive, Hamburg, AR 71646
Phone
(870) 853-2811
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.

Affiliated CLIA numbers

Other labs in Hamburg, AR

Related

Questions

What is the CLIA number for Hamburg Middle School Based Clinic in Hamburg?

04D2150362, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hamburg Middle School Based Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2150362 expire?

The CMS file lists June 21, 2028 as the certificate expiration date; the certificate took effect June 22, 2026.

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