03D1048563 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC DBA ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERM PRACT

Laboratory Demographics

  • CLIA Code: 03D1048563
  • Facility Name: FOREFRONT DERMATOLOGY, SC DBA ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERM PRACT
  • Facility Address: 820 AINSWORTH DR STE A
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 777-5800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RAY W. JOHNSON
  • NPI Number: 1376208868
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D1048563
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC DBA ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERM PRACT
Street 820 AINSWORTH DR STE A
City PRESCOTT
State AZ
ZIP 86301
Phone 928 777-5800
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 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director RAY W. JOHNSON

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