38D2303587 CLIA NUMBER - ADVANTAGE DENTAL + BANDON

Laboratory Demographics

  • CLIA Code: 38D2303587
  • Facility Name: ADVANTAGE DENTAL + BANDON
  • Facility Address: 1275 OREGON AVE SE
    BANDON, OR
    ZIP 97411
  • Facility Phone: 541 551-4022
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: DR. GARY ALLEN
  • NPI Number: 1447812813
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D2303587
LAB Type Other - DENTAL
Facility Name ADVANTAGE DENTAL + BANDON
Street 1275 OREGON AVE SE
City BANDON
State OR
ZIP 97411
Phone 541 551-4022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Other - DENTAL
Lab Director DR. GARY ALLEN

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