26D0914174 CLIA NUMBER - BRISTOL MANOR OF PALMYRA

Laboratory Demographics

  • CLIA Code: 26D0914174
  • Facility Name: BRISTOL MANOR OF PALMYRA
  • Facility Address: 1815 SOUTH MAIN
    PALMYRA, MO
    ZIP 63461
  • Facility Phone: 573 769-2127
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE PHILLIPS
  • NPI Number: 1437365632
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0914174
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF PALMYRA
Street 1815 SOUTH MAIN
City PALMYRA
State MO
ZIP 63461
Phone 573 769-2127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Assisted Living Facility
Lab Director STEPHANIE PHILLIPS

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