10D2314546 CLIA NUMBER - FOREFRONT DERMATOLOGY SC CORP

Laboratory Demographics

  • CLIA Code: 10D2314546
  • Facility Name: FOREFRONT DERMATOLOGY SC CORP
  • Facility Address: 2305 VIDINA DR STE 102
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 441-8332
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AKHIL GUPTA
  • NPI Number: 1477370831
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2314546
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY SC CORP
Street 2305 VIDINA DR STE 102
City MELBOURNE
State FL
ZIP 32940
Phone 321 441-8332
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 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director AKHIL GUPTA

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