06D2327749 CLIA NUMBER - FOREFRONT DERMATOLOGY SC

Laboratory Demographics

  • CLIA Code: 06D2327749
  • Facility Name: FOREFRONT DERMATOLOGY SC
  • Facility Address: 6363 W 120TH AVE, SUITE 100
    BROOMFIELD, CO
    ZIP 80020
  • Facility Phone: 303 414-2856
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHLEEN E. ENGELN
  • NPI Number: 1144014390
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2327749
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY SC
Street 6363 W 120TH AVE, SUITE 100
City BROOMFIELD
State CO
ZIP 80020
Phone 303 414-2856
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 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director KATHLEEN E. ENGELN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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