15D2100673 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 15D2100673
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 7516 EAGLE CREST BLVD STE D
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 401-8999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATARZYNA N. SEDLACZEK
  • NPI Number: 1356725766
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2100673
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 7516 EAGLE CREST BLVD STE D
City EVANSVILLE
State IN
ZIP 47715
Phone 812 401-8999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director KATARZYNA N. SEDLACZEK

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