04D0694336 CLIA NUMBER - ARCARE 50, MCCRORY MEDICAL

Laboratory Demographics

  • CLIA Code: 04D0694336
  • Facility Name: ARCARE 50, MCCRORY MEDICAL
  • Facility Address: 801 EDMONDS STREET
    MCCRORY, AR
    ZIP 72101
  • Facility Phone: 870 731-5411
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1801857503
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0694336
LAB Type Other
Facility Name ARCARE 50, MCCRORY MEDICAL
Street 801 EDMONDS STREET
City MCCRORY
State AR
ZIP 72101
Phone 870 731-5411
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 DR. KRISTINE M. PRUITT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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