04D2049894 CLIA NUMBER - ARCARE - FORT SMITH

Laboratory Demographics

  • CLIA Code: 04D2049894
  • Facility Name: ARCARE - FORT SMITH
  • Facility Address: 3800 ROGERS AVE STE 6
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 782-2500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINE M. PRUITT
  • NPI Number: 1174187132
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2049894
LAB Type Federally Qualified Health Center
Facility Name ARCARE - FORT SMITH
Street 3800 ROGERS AVE STE 6
City FORT SMITH
State AR
ZIP 72903
Phone 479 782-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Federally Qualified Health Center
Lab Director MS. KRISTINE M. PRUITT

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