04D2209741 CLIA NUMBER - ARCARE 78

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Laboratory Demographics

CLIA Number: 04D2209741

Facility Name: ARCARE 78

Facility Address:
4020 RICHARDS ROAD SUITE I
NORTH LITTLE ROCK, AR
ZIP 72117
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Facility Phone Number: 501 916-9693

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1790376424

Taxonomy: 261QF0400X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	1/15/2023
CertificateExpirationDate	1/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024