04D2294830 CLIA NUMBER - ARCARE 82

Laboratory Demographics

  • CLIA Code: 04D2294830
  • Facility Name: ARCARE 82
  • Facility Address: 212 WEST MONROE AVE, STE B
    LOWELL, AR
    ZIP 72745
  • Facility Phone: 479 365-7100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINE M. PRUITT
  • NPI Number: 1568238517
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2294830
LAB Type Federally Qualified Health Center
Facility Name ARCARE 82
Street 212 WEST MONROE AVE, STE B
City LOWELL
State AR
ZIP 72745
Phone 479 365-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
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