14D2260909 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 14D2260909
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 217 RICE LAKE SQUARE
    WHEATON, IL
    ZIP 60189
  • Facility Phone: 630 221-1883
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL B. DREIFKE
  • NPI Number: 1194462382
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2260909
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 217 RICE LAKE SQUARE
City WHEATON
State IL
ZIP 60189
Phone 630 221-1883
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 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director MICHAEL B. DREIFKE

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