26D1048249 CLIA NUMBER - BRISTOL MANOR OF RAYMORE

Laboratory Demographics

  • CLIA Code: 26D1048249
  • Facility Name: BRISTOL MANOR OF RAYMORE
  • Facility Address: 604 SUNRISE DRIVE
    RAYMORE, MO
    ZIP 64083
  • Facility Phone: 816 322-6782
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIA VAUGHN
  • NPI Number: 1114133287
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1048249
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF RAYMORE
Street 604 SUNRISE DRIVE
City RAYMORE
State MO
ZIP 64083
Phone 816 322-6782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Assisted Living Facility
Lab Director MARIA VAUGHN

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