26D2135863 CLIA NUMBER - BUNKER RESIDENTIAL HOME

Laboratory Demographics

  • CLIA Code: 26D2135863
  • Facility Name: BUNKER RESIDENTIAL HOME
  • Facility Address: 500 CULLER AVENUE
    BUNKER, MO
    ZIP 63629
  • Facility Phone: 573 689-1392
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JANIS F. GORDON
  • NPI Number: 1558753640
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D2135863
LAB Type Assisted Living Facility
Facility Name BUNKER RESIDENTIAL HOME
Street 500 CULLER AVENUE
City BUNKER
State MO
ZIP 63629
Phone 573 689-1392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Assisted Living Facility
Lab Director JANIS F. GORDON

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