04D2072960 CLIA NUMBER - ARCARE 47

Laboratory Demographics

  • CLIA Code: 04D2072960
  • Facility Name: ARCARE 47
  • Facility Address: 1310 CENTER STREET
    LONOKE, AR
    ZIP 72086
  • Facility Phone: 501 676-0181
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1831510700
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2072960
LAB Type Federally Qualified Health Center
Facility Name ARCARE 47
Street 1310 CENTER STREET
City LONOKE
State AR
ZIP 72086
Phone 501 676-0181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
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