26D1044902 CLIA NUMBER - BRISTOL MANOR OF BOONVILLE

Laboratory Demographics

  • CLIA Code: 26D1044902
  • Facility Name: BRISTOL MANOR OF BOONVILLE
  • Facility Address: 1290 ASHLEY ROAD
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-3393
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISTA BOONE
  • NPI Number: 1710192315
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1044902
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF BOONVILLE
Street 1290 ASHLEY ROAD
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-3393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Assisted Living Facility
Lab Director KRISTA BOONE

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