04D2008012 CLIA NUMBER - ARCARE 22

Laboratory Demographics

  • CLIA Code: 04D2008012
  • Facility Name: ARCARE 22
  • Facility Address: 2816 FOXMEADOW LANE
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 347-2534
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1760443469
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2008012
LAB Type Federally Qualified Health Center
Facility Name ARCARE 22
Street 2816 FOXMEADOW LANE
City JONESBORO
State AR
ZIP 72401
Phone 870 347-2534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTINE M. PRUITT

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