26D0988737 CLIA NUMBER - BRISTOL MANOR OF CARROLLTON

Laboratory Demographics

  • CLIA Code: 26D0988737
  • Facility Name: BRISTOL MANOR OF CARROLLTON
  • Facility Address: 1016 E 10TH
    CARROLLTON, MO
    ZIP 64633
  • Facility Phone: 660 542-2349
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TONYA WILLCUTS
  • NPI Number: 1215143854
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0988737
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF CARROLLTON
Street 1016 E 10TH
City CARROLLTON
State MO
ZIP 64633
Phone 660 542-2349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Assisted Living Facility
Lab Director TONYA WILLCUTS

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