26D0958172 CLIA NUMBER - BRISTOL MANOR OF LAMAR

Laboratory Demographics

  • CLIA Code: 26D0958172
  • Facility Name: BRISTOL MANOR OF LAMAR
  • Facility Address: 603 EAST 17TH STREET
    LAMAR, MO
    ZIP 64759
  • Facility Phone: 417 682-6762
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANDREA GASTEL
  • NPI Number: 1366658676
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0958172
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF LAMAR
Street 603 EAST 17TH STREET
City LAMAR
State MO
ZIP 64759
Phone 417 682-6762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Assisted Living Facility
Lab Director ANDREA GASTEL

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