04D0871996 CLIA NUMBER - ARCARE 16, BALD KNOB

Laboratory Demographics

  • CLIA Code: 04D0871996
  • Facility Name: ARCARE 16, BALD KNOB
  • Facility Address: 178 HWY 167 NORTH
    BALD KNOB, AR
    ZIP 72010
  • Facility Phone: 501 724-6208
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1801857594
  • Taxonomy: 261QD0000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0871996
LAB Type Other
Facility Name ARCARE 16, BALD KNOB
Street 178 HWY 167 NORTH
City BALD KNOB
State AR
ZIP 72010
Phone 501 724-6208
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

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