15D2087219 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 15D2087219
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1263 HOSPITAL DR NW STE 100
    CORYDON, IN
    ZIP 47112
  • Facility Phone: 812 783-2054
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN M. CRAWFORD
  • NPI Number: 1760887053
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2087219
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1263 HOSPITAL DR NW STE 100
City CORYDON
State IN
ZIP 47112
Phone 812 783-2054
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 KEVIN M. CRAWFORD

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