04D2083191 CLIA NUMBER - ARCARE 23

Laboratory Demographics

  • CLIA Code: 04D2083191
  • Facility Name: ARCARE 23
  • Facility Address: 805 3RD STREET
    HORSESHOE BEND, AR
    ZIP 72512
  • Facility Phone: 870 670-4861
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1619389244
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2083191
LAB Type Federally Qualified Health Center
Facility Name ARCARE 23
Street 805 3RD STREET
City HORSESHOE BEND
State AR
ZIP 72512
Phone 870 670-4861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
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