26D0991719 CLIA NUMBER - BRISTOL MANOR OF WASHINGTON

Laboratory Demographics

  • CLIA Code: 26D0991719
  • Facility Name: BRISTOL MANOR OF WASHINGTON
  • Facility Address: 100 WEST 12TH STREET
    WASHINGTON, MO
    ZIP 63090
  • Facility Phone: 636 390-0050
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRIDGET DUBINICK
  • NPI Number: 1912113937
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0991719
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF WASHINGTON
Street 100 WEST 12TH STREET
City WASHINGTON
State MO
ZIP 63090
Phone 636 390-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Assisted Living Facility
Lab Director BRIDGET DUBINICK

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