04D0959897 CLIA NUMBER - ARCARE 45

Laboratory Demographics

  • CLIA Code: 04D0959897
  • Facility Name: ARCARE 45
  • Facility Address: 114 RAY STREET
    NEWPORT, AR
    ZIP 72112
  • Facility Phone: 870 523-2944
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1255392957
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0959897
LAB Type Federally Qualified Health Center
Facility Name ARCARE 45
Street 114 RAY STREET
City NEWPORT
State AR
ZIP 72112
Phone 870 523-2944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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This page was last updated on: 3/20/2025