04D0466310 CLIA NUMBER - ARCARE WHITE RIVER RURAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D0466310
  • Facility Name: ARCARE WHITE RIVER RURAL HEALTH CENTER
  • Facility Address: 1503 MAIN STREET
    DES ARC, AR
    ZIP 72040
  • Facility Phone: 870 256-4178
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1871554576
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0466310
LAB Type Other
Facility Name ARCARE WHITE RIVER RURAL HEALTH CENTER
Street 1503 MAIN STREET
City DES ARC
State AR
ZIP 72040
Phone 870 256-4178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other
Lab Director KRISTINE M. PRUITT

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