04D0939593 CLIA NUMBER - ARCARE 25, PARKIN MEDICAL

Laboratory Demographics

  • CLIA Code: 04D0939593
  • Facility Name: ARCARE 25, PARKIN MEDICAL
  • Facility Address: 5787 HWY 64
    PARKIN, AR
    ZIP 72373
  • Facility Phone: 870 755-2838
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1790854271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D0939593
LAB Type Other
Facility Name ARCARE 25, PARKIN MEDICAL
Street 5787 HWY 64
City PARKIN
State AR
ZIP 72373
Phone 870 755-2838
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

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