04D2329669 CLIA NUMBER - ARCARE 98

Laboratory Demographics

  • CLIA Code: 04D2329669
  • Facility Name: ARCARE 98
  • Facility Address: 1475 S DETROIT ST
    RUSSELLVILLE, AR
    ZIP 72801
  • Facility Phone: 479 396-4826
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. PRUITT
  • NPI Number: 1154179752
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2329669
LAB Type Federally Qualified Health Center
Facility Name ARCARE 98
Street 1475 S DETROIT ST
City RUSSELLVILLE
State AR
ZIP 72801
Phone 479 396-4826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTINE M. PRUITT

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