26D0972136 CLIA NUMBER - BRISTOL MANOR OF BUFFALO

Laboratory Demographics

  • CLIA Code: 26D0972136
  • Facility Name: BRISTOL MANOR OF BUFFALO
  • Facility Address: 1002 S BIRCH
    BUFFALO, MO
    ZIP 65622
  • Facility Phone: 417 345-5500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINE NOVAK
  • NPI Number: 1053526665
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0972136
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF BUFFALO
Street 1002 S BIRCH
City BUFFALO
State MO
ZIP 65622
Phone 417 345-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Assisted Living Facility
Lab Director KRISTINE NOVAK

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