26D0982149 CLIA NUMBER - BRISTOL MANOR OF CENTRALIA

Laboratory Demographics

  • CLIA Code: 26D0982149
  • Facility Name: BRISTOL MANOR OF CENTRALIA
  • Facility Address: 610 N JEFFERSON
    CENTRALIA, MO
    ZIP 65240
  • Facility Phone: 573 682-5913
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELLI ELLIOT
  • NPI Number: 1689880239
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0982149
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF CENTRALIA
Street 610 N JEFFERSON
City CENTRALIA
State MO
ZIP 65240
Phone 573 682-5913
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 KELLI ELLIOT

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