CLIA lab
CLIA 04D2284817: Warren High School Clinic
Warren, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2284817 belongs to Warren High School Clinic in Warren, AR.
Certificate of Waiver, effective June 29, 2025, expires June 28, 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
- June 29, 2025
- Certificate expiration
- June 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2023
- Facility type
- School or student health service
- Ownership (control type)
- Government, 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
- 04D2284817
- Lab name
- Warren High School Clinic
- Additional name
- Mainline Health Systems Inc
- Address
- 931 N Myrtle Building D, Warren, AR 71671
- Phone
- (870) 226-6754
- Fax
- (870) 226-7025
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bradley County DialysisCertificate of Waiver, End stage renal disease dialysis facility04D1050400
- Bradley County Med Center Home HealthCertificate of Waiver, Home health agency04D0860708
- Bradley County Medical CenterCertificate of Compliance, Hospital04D0465446
- Chapel Woods Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0465452
- Ladonna George, MDCertificate of Waiver, Physician office04D0465438
- MVP WarrenCertificate of Waiver, Pharmacy04D2311953
- Mainline Health Systems IncCertificate of Accreditation, Physician office04D2176977
- Mainline Health Systems IncCertificate of Waiver, School or student health service04D2284822
- New Beginnings CasaCertificate of Waiver, Other04D2323142
Related
Questions
What is the CLIA number for Warren High School Clinic in Warren?
04D2284817, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Warren High School Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2284817 expire?
The CMS file lists June 28, 2027 as the certificate expiration date; the certificate took effect June 29, 2025.