26D1049708 CLIA NUMBER - BRISTOL MANOR OF CAMDENTON

Laboratory Demographics

  • CLIA Code: 26D1049708
  • Facility Name: BRISTOL MANOR OF CAMDENTON
  • Facility Address: 76 FOURTH STREET
    CAMDENTON, MO
    ZIP 65020
  • Facility Phone: 573 346-6800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY CHAPMAN
  • NPI Number: 1497960025
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1049708
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF CAMDENTON
Street 76 FOURTH STREET
City CAMDENTON
State MO
ZIP 65020
Phone 573 346-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Assisted Living Facility
Lab Director TIFFANY CHAPMAN

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