14D2120963 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 14D2120963
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 2800 N SHERIDAN RD, STE 508
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 525-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL H. BERKSON
  • NPI Number: 1235685256
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2120963
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 2800 N SHERIDAN RD, STE 508
City CHICAGO
State IL
ZIP 60657
Phone 773 525-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director MICHAEL H. BERKSON

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