04D2316853 CLIA NUMBER - ARCARE 99

Laboratory Demographics

  • CLIA Code: 04D2316853
  • Facility Name: ARCARE 99
  • Facility Address: 1601 NORTH CHURCH ST
    ATKINS, AR
    ZIP 72823
  • Facility Phone: 479 480-4066
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1033928148
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2316853
LAB Type Federally Qualified Health Center
Facility Name ARCARE 99
Street 1601 NORTH CHURCH ST
City ATKINS
State AR
ZIP 72823
Phone 479 480-4066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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