26D1039191 CLIA NUMBER - BRISTOL MANOR OF WENTZVILLE

Laboratory Demographics

  • CLIA Code: 26D1039191
  • Facility Name: BRISTOL MANOR OF WENTZVILLE
  • Facility Address: 840 WEST NORTHVIEW
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 639-6777
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ASHLEY WILSON
  • NPI Number: 1891901831
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1039191
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF WENTZVILLE
Street 840 WEST NORTHVIEW
City WENTZVILLE
State MO
ZIP 63385
Phone 636 639-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Assisted Living Facility
Lab Director ASHLEY WILSON

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