04D2222761 CLIA NUMBER - ARCARE 137

Laboratory Demographics

  • CLIA Code: 04D2222761
  • Facility Name: ARCARE 137
  • Facility Address: 1301 HIGHWAY 62 EAST
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 970-7140
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1942889027
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2222761
LAB Type Federally Qualified Health Center
Facility Name ARCARE 137
Street 1301 HIGHWAY 62 EAST
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 970-7140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
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