26D1003040 CLIA NUMBER - BRISTOL MANOR OF SEDALIA

Laboratory Demographics

  • CLIA Code: 26D1003040
  • Facility Name: BRISTOL MANOR OF SEDALIA
  • Facility Address: 1208 E 24TH STREET
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 660 827-2028
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LAWRENCE WESTERFIELD
  • NPI Number: 1972719953
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1003040
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF SEDALIA
Street 1208 E 24TH STREET
City SEDALIA
State MO
ZIP 65301
Phone 660 827-2028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Assisted Living Facility
Lab Director LAWRENCE WESTERFIELD

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