14D2042214 CLIA NUMBER - PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 14D2042214
  • Facility Name: PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C
  • Facility Address: 1890 SILVER CROSS BLVD
    NEW LENOX, IL
    ZIP 60451
  • Facility Phone: (630) 904-0413
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN NEUBAUER MD
  • NPI Number: 1154793412
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2042214
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY FOREFRONT DERMATOLOGY S C
Street 1890 SILVER CROSS BLVD
City NEW LENOX
State IL
ZIP 60451
Phone 6309040413
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 6/7/2026
Certificate Expiration Date 6/6/2028
Facility Type Physician Office
Lab Director STEVEN NEUBAUER MD

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This page was last updated on: 5/18/2026