11D0679766 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 11D0679766
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 5505 PEACHTREE DUNWOODY ROAD SUITE 412
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 404 459-9177
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EMILY W. DE GOLIAN
  • NPI Number: 1710449079
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D0679766
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 5505 PEACHTREE DUNWOODY ROAD SUITE 412
City ATLANTA
State GA
ZIP 30342
Phone 404 459-9177
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director EMILY W. DE GOLIAN

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