26D0952186 CLIA NUMBER - BRISTOL MANOR OF BETHANY

Laboratory Demographics

  • CLIA Code: 26D0952186
  • Facility Name: BRISTOL MANOR OF BETHANY
  • Facility Address: 811 SOUTH 24TH STREET
    BETHANY, MO
    ZIP 64424
  • Facility Phone: 660 425-7133
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAYLOR CONNOR
  • NPI Number: 1336354927
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0952186
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF BETHANY
Street 811 SOUTH 24TH STREET
City BETHANY
State MO
ZIP 64424
Phone 660 425-7133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Assisted Living Facility
Lab Director TAYLOR CONNOR

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