04D0874283 CLIA NUMBER - ARCARE 17, CARLISLE MEDICAL

Laboratory Demographics

  • CLIA Code: 04D0874283
  • Facility Name: ARCARE 17, CARLISLE MEDICAL
  • Facility Address: 821 EAST PARK STREET, HWY 70 EAST
    CARLISLE, AR
    ZIP 72024
  • Facility Phone: 870 552-7303
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1033170576
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D0874283
LAB Type Other
Facility Name ARCARE 17, CARLISLE MEDICAL
Street 821 EAST PARK STREET, HWY 70 EAST
City CARLISLE
State AR
ZIP 72024
Phone 870 552-7303
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 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