04D2209741 CLIA NUMBER - ARCARE 78

Laboratory Demographics

  • CLIA Code: 04D2209741
  • Facility Name: ARCARE 78
  • Facility Address: 4020 RICHARDS ROAD SUITE I
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Facility Phone: 501 916-9693
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1790376424
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2209741
LAB Type Federally Qualified Health Center
Facility Name ARCARE 78
Street 4020 RICHARDS ROAD SUITE I
City NORTH LITTLE ROCK
State AR
ZIP 72117
Phone 501 916-9693
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
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