04D2290598 CLIA NUMBER - ARCARE 57

Laboratory Demographics

  • CLIA Code: 04D2290598
  • Facility Name: ARCARE 57
  • Facility Address: 14558 HIGHWAY 412
    HUNTSVILLE, AR
    ZIP 72740
  • Facility Phone: 479 351-0973
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINE M. PRUITT
  • NPI Number: 1881470235
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2290598
LAB Type Federally Qualified Health Center
Facility Name ARCARE 57
Street 14558 HIGHWAY 412
City HUNTSVILLE
State AR
ZIP 72740
Phone 479 351-0973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Federally Qualified Health Center
Lab Director MS. KRISTINE M. PRUITT

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