14D1065532 CLIA NUMBER - PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 14D1065532
  • Facility Name: PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C
  • Facility Address: 507 W KENDALL DR, STE 2
    YORKVILLE, IL
    ZIP 60560
  • Facility Phone: 630 357-7536
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN W. NEUBAUER
  • NPI Number: 1376915629
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D1065532
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C
Street 507 W KENDALL DR, STE 2
City YORKVILLE
State IL
ZIP 60560
Phone 630 357-7536
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 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director STEVEN W. NEUBAUER

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