26D0982143 CLIA NUMBER - BRISTOL MANOR OF WARSAW

Laboratory Demographics

  • CLIA Code: 26D0982143
  • Facility Name: BRISTOL MANOR OF WARSAW
  • Facility Address: 1600 ESTATE DIRVE
    WARSAW, MO
    ZIP 65355
  • Facility Phone: 660 438-7173
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DARLINE FRAISER
  • NPI Number: 1437365442
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0982143
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF WARSAW
Street 1600 ESTATE DIRVE
City WARSAW
State MO
ZIP 65355
Phone 660 438-7173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Assisted Living Facility
Lab Director DARLINE FRAISER

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