04D0968030 CLIA NUMBER - ARCARE 60

Laboratory Demographics

  • CLIA Code: 04D0968030
  • Facility Name: ARCARE 60
  • Facility Address: 601 EAST JULIA STREET
    WYNNE, AR
    ZIP 72396
  • Facility Phone: 870 238-0377
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINE M. PRUITT
  • NPI Number: 1487615183
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0968030
LAB Type Rural Health Clinic
Facility Name ARCARE 60
Street 601 EAST JULIA STREET
City WYNNE
State AR
ZIP 72396
Phone 870 238-0377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Rural Health Clinic
Lab Director MS. KRISTINE M. PRUITT

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