04D2324553 CLIA NUMBER - ARCARE 159

Laboratory Demographics

  • CLIA Code: 04D2324553
  • Facility Name: ARCARE 159
  • Facility Address: 1501 S WALDREN SUITE 202 & 209
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 755-6900
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1457142366
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2324553
LAB Type Federally Qualified Health Center
Facility Name ARCARE 159
Street 1501 S WALDREN SUITE 202 & 209
City FORT SMITH
State AR
ZIP 72903
Phone 479 755-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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