04D1075538 CLIA NUMBER - ARCARE

Laboratory Demographics

  • CLIA Code: 04D1075538
  • Facility Name: ARCARE
  • Facility Address: 1009 HWY 18
    LAKE CITY, AR
    ZIP 72437
  • Facility Phone: 870 237-9928
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1801081294
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D1075538
LAB Type Rural Health Clinic
Facility Name ARCARE
Street 1009 HWY 18
City LAKE CITY
State AR
ZIP 72437
Phone 870 237-9928
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Rural Health Clinic
Lab Director KRISTINE M. PRUITT

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