38D2294928 CLIA NUMBER - ADVANTAGE DENTAL + REDMOND

Laboratory Demographics

CLIA Number: 38D2294928

Facility Name: ADVANTAGE DENTAL + REDMOND

Facility Address:
3853 SW 21ST ST, SUITE 103-105
REDMOND, OR
ZIP 97756
Get Directions

Facility Phone Number: 541 546-0503

Facility Type: Other - DENTAL

Certificate Type: Waiver

NPI Number: 1992935357

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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