15D2074539 CLIA NUMBER - FOREFRONT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 15D2074539
  • Facility Name: FOREFRONT DERMATOLOGY
  • Facility Address: 303 S WALNUT ST
    SEYMOUR, IN
    ZIP 47274
  • Facility Phone: (812) 358-7705
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN M. CRAWFORD
  • NPI Number: 1659796225
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2074539
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY
Street 303 S WALNUT ST
City SEYMOUR
State IN
ZIP 47274
Phone 8123587705
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director KEVIN M. CRAWFORD

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This page was last updated on: 5/18/2026