04D2326381 CLIA NUMBER - ARCARE 160

Laboratory Demographics

  • CLIA Code: 04D2326381
  • Facility Name: ARCARE 160
  • Facility Address: 325 SOUTH WEST DRIVE SUITE B
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 501 431-2643
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1508755653
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2326381
LAB Type Federally Qualified Health Center
Facility Name ARCARE 160
Street 325 SOUTH WEST DRIVE SUITE B
City JONESBORO
State AR
ZIP 72401
Phone 501 431-2643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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