26D0973985 CLIA NUMBER - BRISTOL MANOR OF CLINTON

Laboratory Demographics

  • CLIA Code: 26D0973985
  • Facility Name: BRISTOL MANOR OF CLINTON
  • Facility Address: 1402 E FRANKLIN
    CLINTON, MO
    ZIP 64735
  • Facility Phone: 660 885-8391
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CRYSTAL BREWER
  • NPI Number: 1790991354
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0973985
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF CLINTON
Street 1402 E FRANKLIN
City CLINTON
State MO
ZIP 64735
Phone 660 885-8391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Assisted Living Facility
Lab Director CRYSTAL BREWER

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