11D2305439 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC DBA ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2305439
  • Facility Name: FOREFRONT DERMATOLOGY, SC DBA ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
  • Facility Address: 124 CARTERET ROAD
    BRUNSWICK, GA
    ZIP 31525
  • Facility Phone: 912 480-0474
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JORDAN P. BROOKS
  • NPI Number: 1962241737
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2305439
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC DBA ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
Street 124 CARTERET ROAD
City BRUNSWICK
State GA
ZIP 31525
Phone 912 480-0474
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 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director JORDAN P. BROOKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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