26D0970575 CLIA NUMBER - BRISTOL MANOR OF JEFFERSON CITY

Laboratory Demographics

  • CLIA Code: 26D0970575
  • Facility Name: BRISTOL MANOR OF JEFFERSON CITY
  • Facility Address: 510 KENSINGTON PARK
    JEFFERSON CITY, MO
    ZIP 65109
  • Facility Phone: 660 826-0200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHASE FRANCIS
  • NPI Number: 1225244502
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0970575
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF JEFFERSON CITY
Street 510 KENSINGTON PARK
City JEFFERSON CITY
State MO
ZIP 65109
Phone 660 826-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Assisted Living Facility
Lab Director CHASE FRANCIS

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