26D0944070 CLIA NUMBER - BRISTOL MANOR OF MARYVILLE

Laboratory Demographics

  • CLIA Code: 26D0944070
  • Facility Name: BRISTOL MANOR OF MARYVILLE
  • Facility Address: 323 EAST SUMMIT DRIVE
    MARYVILLE, MO
    ZIP 64468
  • Facility Phone: 660 582-4131
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LORI CLEMENTS
  • NPI Number: 1285840520
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0944070
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF MARYVILLE
Street 323 EAST SUMMIT DRIVE
City MARYVILLE
State MO
ZIP 64468
Phone 660 582-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Assisted Living Facility
Lab Director LORI CLEMENTS

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