04D2167272 CLIA NUMBER - ARCARE 124

Laboratory Demographics

  • CLIA Code: 04D2167272
  • Facility Name: ARCARE 124
  • Facility Address: 3150 EAST HERITAGE PARKWAY
    FARMINGTON, AR
    ZIP 72730
  • Facility Phone: 479 400-1140
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. HENRY W. ALLEN
  • NPI Number: 1710465190
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2167272
LAB Type Rural Health Clinic
Facility Name ARCARE 124
Street 3150 EAST HERITAGE PARKWAY
City FARMINGTON
State AR
ZIP 72730
Phone 479 400-1140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Rural Health Clinic
Lab Director DR. HENRY W. ALLEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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