04D2322890 CLIA NUMBER - ARCARE 97

Laboratory Demographics

  • CLIA Code: 04D2322890
  • Facility Name: ARCARE 97
  • Facility Address: 1400 MURRELL TAYLOR DRIVE SUITE C
    JACKSONVILLE, AR
    ZIP 72076
  • Facility Phone: 501 255-2484
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1821802729
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2322890
LAB Type Federally Qualified Health Center
Facility Name ARCARE 97
Street 1400 MURRELL TAYLOR DRIVE SUITE C
City JACKSONVILLE
State AR
ZIP 72076
Phone 501 255-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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