26D0968354 CLIA NUMBER - BRISTOL MANOR OF PACIFIC

Laboratory Demographics

  • CLIA Code: 26D0968354
  • Facility Name: BRISTOL MANOR OF PACIFIC
  • Facility Address: 2049 ROSE LANE
    PACIFIC, MO
    ZIP 63069
  • Facility Phone: 636 257-8020
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HANNAH MAJOR
  • NPI Number: 1811103013
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0968354
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF PACIFIC
Street 2049 ROSE LANE
City PACIFIC
State MO
ZIP 63069
Phone 636 257-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Assisted Living Facility
Lab Director HANNAH MAJOR

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