38D2178722 CLIA NUMBER - ADVANTAGE DENTAL + BEND

Laboratory Demographics

  • CLIA Code: 38D2178722
  • Facility Name: ADVANTAGE DENTAL + BEND
  • Facility Address: 2381 NE CONNERS AVE
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 678-6262
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: DR. GARY W. ALLEN
  • NPI Number: 1285007807
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 38D2178722
LAB Type Other - DENTAL
Facility Name ADVANTAGE DENTAL + BEND
Street 2381 NE CONNERS AVE
City BEND
State OR
ZIP 97701
Phone 541 678-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - DENTAL
Lab Director DR. GARY W. ALLEN

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