16D2129196 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 16D2129196
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 2785 N ANKENY BLVD, SUITE 24
    ANKENY, IA
    ZIP 50023
  • Facility Phone: (515) 964-5503
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIRSTEN E. DICKINSON
  • NPI Number: 1346780848
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 16D2129196
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 2785 N ANKENY BLVD, SUITE 24
City ANKENY
State IA
ZIP 50023
Phone 5159645503
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 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director KIRSTEN E. DICKINSON

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