04D2319093 CLIA NUMBER - ARCARE 72

Laboratory Demographics

  • CLIA Code: 04D2319093
  • Facility Name: ARCARE 72
  • Facility Address: 700 GOLF COURSE DRIVE SUITE 704
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 268-5540
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1386455111
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2319093
LAB Type Federally Qualified Health Center
Facility Name ARCARE 72
Street 700 GOLF COURSE DRIVE SUITE 704
City SEARCY
State AR
ZIP 72143
Phone 501 268-5540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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