10D2215649 CLIA NUMBER - FOREFRONT DERMATOLOGY, S C DBA GAINESVILLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2215649
  • Facility Name: FOREFRONT DERMATOLOGY, S C DBA GAINESVILLE DERMATOLOGY
  • Facility Address: 120 NW 76TH DR
    GAINESVILLE, FL
    ZIP 32607
  • Facility Phone: 352 333-3223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY L. AULISIO
  • NPI Number: 1790388957
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2215649
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, S C DBA GAINESVILLE DERMATOLOGY
Street 120 NW 76TH DR
City GAINESVILLE
State FL
ZIP 32607
Phone 352 333-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director ANTHONY L. AULISIO

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