26D0963715 CLIA NUMBER - BRISTOL MANOR OF BUTLER

Laboratory Demographics

  • CLIA Code: 26D0963715
  • Facility Name: BRISTOL MANOR OF BUTLER
  • Facility Address: 411 S DELAWARE
    BUTLER, MO
    ZIP 64730
  • Facility Phone: 660 679-3661
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DOROTHY CARTER
  • NPI Number: 1164637781
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0963715
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF BUTLER
Street 411 S DELAWARE
City BUTLER
State MO
ZIP 64730
Phone 660 679-3661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Assisted Living Facility
Lab Director DOROTHY CARTER

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