15D2089910 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 15D2089910
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 955 N MICHIGAN AVE, STE 81
    GREENSBURG, IN
    ZIP 47240
  • Facility Phone: 812 222-0202
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW DUBOIS
  • NPI Number: 1689072613
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2089910
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 955 N MICHIGAN AVE, STE 81
City GREENSBURG
State IN
ZIP 47240
Phone 812 222-0202
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 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director ANDREW DUBOIS

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