14D2117048 CLIA NUMBER - FOREFRONT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2117048
  • Facility Name: FOREFRONT DERMATOLOGY
  • Facility Address: 615 VALLEY VIEW DRIVE, SUITE 204
    MOLINE, IL
    ZIP 61265
  • Facility Phone: 309 277-6552
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HILLARY JOHNSON-JAHANGIR
  • NPI Number: 1871046995
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2117048
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY
Street 615 VALLEY VIEW DRIVE, SUITE 204
City MOLINE
State IL
ZIP 61265
Phone 309 277-6552
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 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director HILLARY JOHNSON-JAHANGIR

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