26D1003345 CLIA NUMBER - BRISTOL MANOR OF CAMERON

Laboratory Demographics

CLIA Number: 26D1003345

Facility Name: BRISTOL MANOR OF CAMERON

Facility Address:
920 NORTH HARRIS
CAMERON, MO
ZIP 64429
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Facility Phone Number: 816 632-6133

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1518173145

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D1003345
LAB Type	Assisted Living Facility
Facility Name	BRISTOL MANOR OF CAMERON
Street	920 NORTH HARRIS
City	CAMERON
State	MO
ZIP	64429
Phone	816 632-6133
CertificateType	4
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024