04D2173162 CLIA NUMBER - ARCARE 131

Laboratory Demographics

  • CLIA Code: 04D2173162
  • Facility Name: ARCARE 131
  • Facility Address: 138 SCHOOL ROAD
    ROSE BUD, AR
    ZIP 72137
  • Facility Phone: 501 556-4344
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1548817042
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2173162
LAB Type Federally Qualified Health Center
Facility Name ARCARE 131
Street 138 SCHOOL ROAD
City ROSE BUD
State AR
ZIP 72137
Phone 501 556-4344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
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