04D2243446 CLIA NUMBER - ARCARE 141

Laboratory Demographics

  • CLIA Code: 04D2243446
  • Facility Name: ARCARE 141
  • Facility Address: 5510 SOUTHWEST DR SUITES 11 & 12
    JONESBORO, AR
    ZIP 72404
  • Facility Phone: 870 347-2534
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTINE M. PRUITT
  • NPI Number: 1174955967
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2243446
LAB Type Federally Qualified Health Center
Facility Name ARCARE 141
Street 5510 SOUTHWEST DR SUITES 11 & 12
City JONESBORO
State AR
ZIP 72404
Phone 870 347-2534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
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