04D0940356 CLIA NUMBER - ARCARE 80

Laboratory Demographics

  • CLIA Code: 04D0940356
  • Facility Name: ARCARE 80
  • Facility Address: 606 WILBUR D MILLS NORTH
    KENSETT, AR
    ZIP 72082
  • Facility Phone: 501 742-5697
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1245291947
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0940356
LAB Type Federally Qualified Health Center
Facility Name ARCARE 80
Street 606 WILBUR D MILLS NORTH
City KENSETT
State AR
ZIP 72082
Phone 501 742-5697
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