10D2133107 CLIA NUMBER - FOREFRONT DERMATOLOGY SC CORP

Laboratory Demographics

  • CLIA Code: 10D2133107
  • Facility Name: FOREFRONT DERMATOLOGY SC CORP
  • Facility Address: 121 BAPTIST WAY STE 2200
    PENSACOLA, FL
    ZIP 32503
  • Facility Phone: 850 474-4775
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUKE A. HYDER
  • NPI Number: 1083259642
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2133107
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY SC CORP
Street 121 BAPTIST WAY STE 2200
City PENSACOLA
State FL
ZIP 32503
Phone 850 474-4775
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 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Physician Office
Lab Director LUKE A. HYDER

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