04D0994768 CLIA NUMBER - ARCARE 70

Laboratory Demographics

  • CLIA Code: 04D0994768
  • Facility Name: ARCARE 70
  • Facility Address: 615 NORTH MAIN STREET
    BRINKLEY, AR
    ZIP 72021
  • Facility Phone: 870 734-1150
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1669433363
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D0994768
LAB Type Federally Qualified Health Center
Facility Name ARCARE 70
Street 615 NORTH MAIN STREET
City BRINKLEY
State AR
ZIP 72021
Phone 870 734-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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