15D1020689 CLIA NUMBER - FOREFRONT DERMATOLOGY, S C

Laboratory Demographics

  • CLIA Code: 15D1020689
  • Facility Name: FOREFRONT DERMATOLOGY, S C
  • Facility Address: 4020 NEW VISION DR
    FORT WAYNE, IN
    ZIP 46845
  • Facility Phone: 260 423-2567
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALEXANDRA G. FLOREK
  • NPI Number: 1881055069
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D1020689
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, S C
Street 4020 NEW VISION DR
City FORT WAYNE
State IN
ZIP 46845
Phone 260 423-2567
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 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director ALEXANDRA G. FLOREK

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