26D0982851 CLIA NUMBER - BRISTOL MANOR OF ODESSA

Laboratory Demographics

  • CLIA Code: 26D0982851
  • Facility Name: BRISTOL MANOR OF ODESSA
  • Facility Address: 115 S 5TH
    ODESSA, MO
    ZIP 64076
  • Facility Phone: 816 633-8692
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CANDI HAWORTH
  • NPI Number: 1124234315
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0982851
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF ODESSA
Street 115 S 5TH
City ODESSA
State MO
ZIP 64076
Phone 816 633-8692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Assisted Living Facility
Lab Director CANDI HAWORTH

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