38D2323029 CLIA NUMBER - ROBERT RUST JR DMD GENERAL DENTISTRY

Laboratory Demographics

  • CLIA Code: 38D2323029
  • Facility Name: ROBERT RUST JR DMD GENERAL DENTISTRY
  • Facility Address: 358 E 40TH AVE
    EUGENE, OR
    ZIP 97405
  • Facility Phone: 541 342-1072
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RUDY C. GUTIERREZ
  • NPI Number: 1558558973
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D2323029
LAB Type Practitioner Other
Facility Name ROBERT RUST JR DMD GENERAL DENTISTRY
Street 358 E 40TH AVE
City EUGENE
State OR
ZIP 97405
Phone 541 342-1072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Practitioner Other
Lab Director RUDY C. GUTIERREZ

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