04D2176765 CLIA NUMBER - ARCARE 102

Laboratory Demographics

  • CLIA Code: 04D2176765
  • Facility Name: ARCARE 102
  • Facility Address: 11520 SR 27
    HECTOR, AR
    ZIP 72843
  • Facility Phone: 870 919-6696
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINE M. PRUITT
  • NPI Number: 1407447295
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2176765
LAB Type School/Student Health Service
Facility Name ARCARE 102
Street 11520 SR 27
City HECTOR
State AR
ZIP 72843
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type School/Student Health Service
Lab Director MS. KRISTINE M. PRUITT

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