15D2098986 CLIA NUMBER - FOREFRONT DERMATOLOGY, S C

Laboratory Demographics

  • CLIA Code: 15D2098986
  • Facility Name: FOREFRONT DERMATOLOGY, S C
  • Facility Address: 505 W HOMER ST STE 201
    SALEM, IN
    ZIP 47167
  • Facility Phone: (812) 883-0024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN M. CRAWFORD
  • NPI Number: 1043107477
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2098986
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, S C
Street 505 W HOMER ST STE 201
City SALEM
State IN
ZIP 47167
Phone 8128830024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2026
Certificate Expiration Date 1/31/2028
Facility Type Physician Office
Lab Director KEVIN M. CRAWFORD

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