04D2143003 CLIA NUMBER - ARCARE 64

Laboratory Demographics

  • CLIA Code: 04D2143003
  • Facility Name: ARCARE 64
  • Facility Address: 305 RODGERS DRIVE
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 870 919-6696
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1861642985
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2143003
LAB Type Federally Qualified Health Center
Facility Name ARCARE 64
Street 305 RODGERS DRIVE
City SEARCY
State AR
ZIP 72143
Phone 870 919-6696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
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