38D2294928 CLIA NUMBER - ADVANTAGE DENTAL + REDMOND

Laboratory Demographics

  • CLIA Code: 38D2294928
  • Facility Name: ADVANTAGE DENTAL + REDMOND
  • Facility Address: 3853 SW 21ST ST, SUITE 103-105
    REDMOND, OR
    ZIP 97756
  • Facility Phone: 541 546-0503
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: GARY W. ALLEN
  • NPI Number: 1992935357
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D2294928
LAB Type Other - DENTAL
Facility Name ADVANTAGE DENTAL + REDMOND
Street 3853 SW 21ST ST, SUITE 103-105
City REDMOND
State OR
ZIP 97756
Phone 541 546-0503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Other - DENTAL
Lab Director GARY W. ALLEN

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