04D2054839 CLIA NUMBER - ARCARE 100

Laboratory Demographics

  • CLIA Code: 04D2054839
  • Facility Name: ARCARE 100
  • Facility Address: 54 TATE SPRINGS RD
    MELBOURNE, AR
    ZIP 72556
  • Facility Phone: 870 368-5030
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1831442938
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2054839
LAB Type Federally Qualified Health Center
Facility Name ARCARE 100
Street 54 TATE SPRINGS RD
City MELBOURNE
State AR
ZIP 72556
Phone 870 368-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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