03D2209519 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 03D2209519
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 875 N GREENFIELD RD STE 108
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 801-2103
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN S. KASTELER
  • NPI Number: 1396340162
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 03D2209519
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 875 N GREENFIELD RD STE 108
City GILBERT
State AZ
ZIP 85234
Phone 480 801-2103
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 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director JOHN S. KASTELER

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