14D2128947 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 14D2128947
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 1170 E BELVIDERE ROAD, STE 206
    GRAYSLAKE, IL
    ZIP 60030
  • Facility Phone: 224 541-8120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC J. MARSH
  • NPI Number: 1427589027
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2128947
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 1170 E BELVIDERE ROAD, STE 206
City GRAYSLAKE
State IL
ZIP 60030
Phone 224 541-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director ERIC J. MARSH

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