38D1017827 CLIA NUMBER - OREGON ORAL & IMPLANT SURGEONS PC

Laboratory Demographics

CLIA Number: 38D1017827

Facility Name: OREGON ORAL & IMPLANT SURGEONS PC

Facility Address:
330 S GARDEN WAY SUITE 140
EUGENE, OR
ZIP 97401
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Facility Phone Number: 541 686-9750

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447271655

Taxonomy: 1223S0112X - Dentist
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

CLIA Record

Field Name	Field Value
CLIA Number	38D1017827
LAB Type	Physician Office
Facility Name	OREGON ORAL & IMPLANT SURGEONS PC
Street	330 S GARDEN WAY SUITE 140
City	EUGENE
State	OR
ZIP	97401
Phone	541 686-9750
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024