01D2088250 CLIA NUMBER - ADVANCED DERMATOLGY AND SKIN CARE CENTRE A FOREFRONT DERMATOLOGY PRACTICE

Laboratory Demographics

  • CLIA Code: 01D2088250
  • Facility Name: ADVANCED DERMATOLGY AND SKIN CARE CENTRE A FOREFRONT DERMATOLOGY PRACTICE
  • Facility Address: 580 PROVIDENCE PARK DR E
    MOBILE, AL
    ZIP 36695
  • Facility Phone: 251 631-3570
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CARY L. DUNN
  • NPI Number: 1366936759
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2088250
LAB Type Physician Office
Facility Name ADVANCED DERMATOLGY AND SKIN CARE CENTRE A FOREFRONT DERMATOLOGY PRACTICE
Street 580 PROVIDENCE PARK DR E
City MOBILE
State AL
ZIP 36695
Phone 251 631-3570
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director CARY L. DUNN

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