26D0939096 CLIA NUMBER - COLONIAL RESIDENTIAL CARE II

Laboratory Demographics

  • CLIA Code: 26D0939096
  • Facility Name: COLONIAL RESIDENTIAL CARE II
  • Facility Address: 1162 CEDAR STREET
    BISMARCK, MO
    ZIP 63624
  • Facility Phone: 417 425-3062
  • Facility Type: Other - RES CARE KK
  • Facility Type: Waiver
  • Lab Director: BROOKE M. BIGHAM
  • NPI Number: 1518095223
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0939096
LAB Type Other - RES CARE KK
Facility Name COLONIAL RESIDENTIAL CARE II
Street 1162 CEDAR STREET
City BISMARCK
State MO
ZIP 63624
Phone 417 425-3062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Other - RES CARE KK
Lab Director BROOKE M. BIGHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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