38D1102156 CLIA NUMBER - TIMOTHY B WELCH MD DDS NW ORAL MAXILLOFACIAL & IMPLANT SURGERY

Laboratory Demographics

  • CLIA Code: 38D1102156
  • Facility Name: TIMOTHY B WELCH MD DDS NW ORAL MAXILLOFACIAL & IMPLANT SURGERY
  • Facility Address: 911 COUNTRY CLUB RD SUITE 100
    EUGENE, OR
    ZIP 97401
  • Facility Phone: 541 465-3939
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY B. WELCH
  • NPI Number: 1952329450
  • Taxonomy: 204E00000X - Oral & Maxillofacial Surgery

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CLIA Record

Field Name Field Value
CLIA Number 38D1102156
LAB Type Practitioner Other
Facility Name TIMOTHY B WELCH MD DDS NW ORAL MAXILLOFACIAL & IMPLANT SURGERY
Street 911 COUNTRY CLUB RD SUITE 100
City EUGENE
State OR
ZIP 97401
Phone 541 465-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Practitioner Other
Lab Director TIMOTHY B. WELCH

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