14D1009033 CLIA NUMBER - ADVANCED DERMATOLOGY, A FOREFRONT DERMATOLOGY PRAC

Laboratory Demographics

  • CLIA Code: 14D1009033
  • Facility Name: ADVANCED DERMATOLOGY, A FOREFRONT DERMATOLOGY PRAC
  • Facility Address: 275 PARKWAY DR STE 251
    LINCOLNSHIRE, IL
    ZIP 60069
  • Facility Phone: 847 459-6400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TUSHAR DABADE
  • NPI Number: 1528273505
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D1009033
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY, A FOREFRONT DERMATOLOGY PRAC
Street 275 PARKWAY DR STE 251
City LINCOLNSHIRE
State IL
ZIP 60069
Phone 847 459-6400
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 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director TUSHAR DABADE

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