26D1051389 CLIA NUMBER - BRISTOL MANOR OF MACON

Laboratory Demographics

  • CLIA Code: 26D1051389
  • Facility Name: BRISTOL MANOR OF MACON
  • Facility Address: 707 RANCHLAND DRIVE
    MACON, MO
    ZIP 63552
  • Facility Phone: 660 385-3020
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AUTUMN HARDER
  • NPI Number: 1912113242
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1051389
LAB Type Assisted Living Facility
Facility Name BRISTOL MANOR OF MACON
Street 707 RANCHLAND DRIVE
City MACON
State MO
ZIP 63552
Phone 660 385-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Assisted Living Facility
Lab Director AUTUMN HARDER

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