26D0972059 CLIA NUMBER - BRISTOL MANOR OF SMITHVILLE

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Laboratory Demographics

CLIA Number: 26D0972059

Facility Name: BRISTOL MANOR OF SMITHVILLE

Facility Address:
1502 S COMMERCIAL
SMITHVILLE, MO
ZIP 64089
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Facility Phone Number: 816 532-4490

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1740496736

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D0972059
LAB Type	Assisted Living Facility
Facility Name	BRISTOL MANOR OF SMITHVILLE
Street	1502 S COMMERCIAL
City	SMITHVILLE
State	MO
ZIP	64089
Phone	816 532-4490
CertificateType	4
CertificateEffectiveDate	3/28/2024
CertificateExpirationDate	3/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024