26D0983821 CLIA NUMBER - BRISTOL MANOR OF PRINCETON

Laboratory Demographics

  • CLIA Code: 26D0983821
  • Facility Name: BRISTOL MANOR OF PRINCETON
  • Facility Address: 200 N FULLERTON
    PRINCETON, MO
    ZIP 64673
  • Facility Phone: 660 748-4354
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JUSTIN BROWN
  • NPI Number: 1235345349
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0983821
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF PRINCETON
Street 200 N FULLERTON
City PRINCETON
State MO
ZIP 64673
Phone 660 748-4354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Assisted Living Facility
Lab Director JUSTIN BROWN

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