04D0694319 CLIA NUMBER - ARCARE 40 WHITE RIVER RURAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 04D0694319
  • Facility Name: ARCARE 40 WHITE RIVER RURAL HEALTH CENTER
  • Facility Address: 705 HWY 63
    HAZEN, AR
    ZIP 72064
  • Facility Phone: 870 255-3696
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1396706099
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0694319
LAB Type Other
Facility Name ARCARE 40 WHITE RIVER RURAL HEALTH CENTER
Street 705 HWY 63
City HAZEN
State AR
ZIP 72064
Phone 870 255-3696
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 DR. KRISTINE M. PRUITT

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