26D1090329 CLIA NUMBER - BRIDGEWAY RCF

Laboratory Demographics

CLIA Code: 26D1090329
Facility Name: BRIDGEWAY RCF
Facility Address: 828 JEFFERSON ST
FULTON, MO
ZIP 65251
Facility Phone: 573 642-7770
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: WILLIAM J. RUDROFF
NPI Number: 1497344147
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	26D1090329
LAB Type	Assisted Living Facility
Facility Name	BRIDGEWAY RCF
Street	828 JEFFERSON ST
City	FULTON
State	MO
ZIP	65251
Phone	573 642-7770
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/8/2024
Certificate Expiration Date	10/7/2026
Facility Type	Assisted Living Facility
Lab Director	WILLIAM J. RUDROFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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