04D0466310 CLIA NUMBER - ARCARE WHITE RIVER RURAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 04D0466310

Facility Name: ARCARE WHITE RIVER RURAL HEALTH CENTER

Facility Address:
1503 MAIN STREET
DES ARC, AR
ZIP 72040
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Facility Phone Number: 870 256-4178

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1871554576

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024