26D1034916 CLIA NUMBER - BRISTOL MANOR OF LINCOLN

Laboratory Demographics

  • CLIA Code: 26D1034916
  • Facility Name: BRISTOL MANOR OF LINCOLN
  • Facility Address: 204 HIGHWAY 65 SOUTH
    LINCOLN, MO
    ZIP 65338
  • Facility Phone: 660 547-2580
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY FARMER
  • NPI Number: 1154539781
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1034916
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF LINCOLN
Street 204 HIGHWAY 65 SOUTH
City LINCOLN
State MO
ZIP 65338
Phone 660 547-2580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Assisted Living Facility
Lab Director TIMOTHY FARMER

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This page was last updated on: 6/4/2025