15D2287672 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 15D2287672
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 17471 WHEELER RD STE 114
    WESTFIELD, IN
    ZIP 46074
  • Facility Phone: 920 663-9146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BAILEY E. TAYEBI
  • NPI Number: 1659796225
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2287672
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 17471 WHEELER RD STE 114
City WESTFIELD
State IN
ZIP 46074
Phone 920 663-9146
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 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. BAILEY E. TAYEBI

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This page was last updated on: 3/20/2025