26D1049709 CLIA NUMBER - BRISTOL MANOR OF FULTON

Laboratory Demographics

  • CLIA Code: 26D1049709
  • Facility Name: BRISTOL MANOR OF FULTON
  • Facility Address: 750 SIGN PAINTER ROAD
    FULTON, MO
    ZIP 65251
  • Facility Phone: 573 642-7557
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JASMINE HARBIN
  • NPI Number: 1447466032
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1049709
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF FULTON
Street 750 SIGN PAINTER ROAD
City FULTON
State MO
ZIP 65251
Phone 573 642-7557
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 JASMINE HARBIN

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