38D2303589 CLIA NUMBER - ADVANTAGE DENTAL + BEAVERTON

Laboratory Demographics

  • CLIA Code: 38D2303589
  • Facility Name: ADVANTAGE DENTAL + BEAVERTON
  • Facility Address: 13831 NW CORNELL RD, SUITE A
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 718-3762
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: DR. GARY ALLEN
  • NPI Number: 1972970671
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2303589
LAB Type Other - DENTAL
Facility Name ADVANTAGE DENTAL + BEAVERTON
Street 13831 NW CORNELL RD, SUITE A
City PORTLAND
State OR
ZIP 97229
Phone 503 718-3762
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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