10D2180474 CLIA NUMBER - FOREFRONT DERMATOLOGY SC CORP DBA KNIGHT DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D2180474
  • Facility Name: FOREFRONT DERMATOLOGY SC CORP DBA KNIGHT DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
  • Facility Address: 1035 PRIMERA BLVD SUITE 1041
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 920 663-9008
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES M. KNIGHT
  • NPI Number: 1386830263
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2180474
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY SC CORP DBA KNIGHT DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
Street 1035 PRIMERA BLVD SUITE 1041
City LAKE MARY
State FL
ZIP 32746
Phone 920 663-9008
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 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director JAMES M. KNIGHT

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