38D2303615 CLIA NUMBER - ADVANTAGE DENTAL + TIGARD

Laboratory Demographics

  • CLIA Code: 38D2303615
  • Facility Name: ADVANTAGE DENTAL + TIGARD
  • Facility Address: 9900 SW GREENBURG RD, SUITE 240
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 971 206-7133
  • Facility Type: Other - DENTAL
  • Facility Type: Waiver
  • Lab Director: DR. GARY ALLEN
  • NPI Number: 1578633616
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2303615
LAB Type Other - DENTAL
Facility Name ADVANTAGE DENTAL + TIGARD
Street 9900 SW GREENBURG RD, SUITE 240
City TIGARD
State OR
ZIP 97223
Phone 971 206-7133
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