26D0897087 CLIA NUMBER - BRADFORD COURT ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 26D0897087
  • Facility Name: BRADFORD COURT ASSISTED LIVING
  • Facility Address: 902 NORTH MAIN
    NIXA, MO
    ZIP 65714
  • Facility Phone: 417 725-0177
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMMARA PERRY
  • NPI Number: 1770530537
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0897087
LAB Type Assisted Living Facility
Facility Name BRADFORD COURT ASSISTED LIVING
Street 902 NORTH MAIN
City NIXA
State MO
ZIP 65714
Phone 417 725-0177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Assisted Living Facility
Lab Director TAMMARA PERRY

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