26D0981981 CLIA NUMBER - BRISTOL MANOR OF BROOKFIELD

Laboratory Demographics

  • CLIA Code: 26D0981981
  • Facility Name: BRISTOL MANOR OF BROOKFIELD
  • Facility Address: 338 THOMPSON
    BROOKFIELD, MO
    ZIP 64628
  • Facility Phone: 660 258-5065
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD OWENS
  • NPI Number: 1821203423
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0981981
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF BROOKFIELD
Street 338 THOMPSON
City BROOKFIELD
State MO
ZIP 64628
Phone 660 258-5065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Assisted Living Facility
Lab Director RICHARD OWENS

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