26D0982147 CLIA NUMBER - BRISTOL MANOR OF MARCELINE

Laboratory Demographics

  • CLIA Code: 26D0982147
  • Facility Name: BRISTOL MANOR OF MARCELINE
  • Facility Address: 102 E HAYDEN/BOX 333
    MARCELINE, MO
    ZIP 64658
  • Facility Phone: 660 376-2210
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAWN AMOS
  • NPI Number: 1255547584
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0982147
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF MARCELINE
Street 102 E HAYDEN/BOX 333
City MARCELINE
State MO
ZIP 64658
Phone 660 376-2210
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 SHAWN AMOS

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