26D0962979 CLIA NUMBER - BRISTOL MANOR OF UNIONVILLE

Laboratory Demographics

  • CLIA Code: 26D0962979
  • Facility Name: BRISTOL MANOR OF UNIONVILLE
  • Facility Address: 715 N 22ND STREET
    UNIONVILLE, MO
    ZIP 63565
  • Facility Phone: 660 947-2151
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GORDON KEITH LEACH
  • NPI Number: 1639385636
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0962979
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF UNIONVILLE
Street 715 N 22ND STREET
City UNIONVILLE
State MO
ZIP 63565
Phone 660 947-2151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Assisted Living Facility
Lab Director GORDON KEITH LEACH

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