11D2328087 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 11D2328087
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 515 PEACHTREE PARKWAY, SUITE 602
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 470 977-2971
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AVALON M. REGALBUTO
  • NPI Number: 1538954649
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 11D2328087
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 515 PEACHTREE PARKWAY, SUITE 602
City CUMMING
State GA
ZIP 30041
Phone 470 977-2971
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director AVALON M. REGALBUTO

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