04D0899765 CLIA NUMBER - ARCARE 90

Laboratory Demographics

  • CLIA Code: 04D0899765
  • Facility Name: ARCARE 90
  • Facility Address: 300 EAST MAIN STREET
    SWIFTON, AR
    ZIP 72471
  • Facility Phone: 870 485-2234
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1437110129
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0899765
LAB Type Federally Qualified Health Center
Facility Name ARCARE 90
Street 300 EAST MAIN STREET
City SWIFTON
State AR
ZIP 72471
Phone 870 485-2234
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 Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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