CLIA lab
CLIA 04D2159486: Mainline Health Systems-Portland Elementary
Portland, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2159486 belongs to Mainline Health Systems-Portland Elementary in Portland, AR.
Certificate of Waiver, effective December 19, 2024, expires December 18, 2026.
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
- December 19, 2024
- Certificate expiration
- December 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2018
- Facility type
- School or student health service
- Ownership (control type)
- Government, federal
- 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
- 04D2159486
- Lab name
- Mainline Health Systems-Portland Elementary
- Address
- 314 Hwy 160 E, Portland, AR 71663
- Phone
- (870) 737-2221
Annual test volume the lab reported
- Waived tests
- 350
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-Portland Elementary in Portland?
04D2159486, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mainline Health Systems-Portland Elementary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2159486 expire?
The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.