04D0466083 CLIA NUMBER - ARCARE 10, AUGUSTA MEDICAL

Laboratory Demographics

  • CLIA Code: 04D0466083
  • Facility Name: ARCARE 10, AUGUSTA MEDICAL
  • Facility Address: 400 HWY 64E
    AUGUSTA, AR
    ZIP 72006
  • Facility Phone: 870 347-2534
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1689168643
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0466083
LAB Type Other
Facility Name ARCARE 10, AUGUSTA MEDICAL
Street 400 HWY 64E
City AUGUSTA
State AR
ZIP 72006
Phone 870 347-2534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Other
Lab Director KRISTINE M. PRUITT

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This page was last updated on: 9/29/2025