04D1075538 CLIA NUMBER - ARCARE

Laboratory Demographics

CLIA Number: 04D1075538

Facility Name: ARCARE

Facility Address:
1009 HWY 18
LAKE CITY, AR
ZIP 72437
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Facility Phone Number: 870 237-9928

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1801081294

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024