26D0984641 CLIA NUMBER - BRISTOL MANOR OF CARTHAGE

Laboratory Demographics

  • CLIA Code: 26D0984641
  • Facility Name: BRISTOL MANOR OF CARTHAGE
  • Facility Address: 2131 S RIVER AVENUE
    CARTHAGE, MO
    ZIP 64836
  • Facility Phone: 417 358-9788
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LARESSA DALE
  • NPI Number: 1417163056
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D0984641
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF CARTHAGE
Street 2131 S RIVER AVENUE
City CARTHAGE
State MO
ZIP 64836
Phone 417 358-9788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Assisted Living Facility
Lab Director LARESSA DALE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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