01D1091690 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 01D1091690
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 250 INVERNESS CENTER DRIVE
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 995-5575
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIA M. MARKS
  • NPI Number: 1497235592
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D1091690
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 250 INVERNESS CENTER DRIVE
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 995-5575
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director MARIA M. MARKS

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