21D2325945 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 21D2325945
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 112 THOMAS JOHNSON DR STE 130
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 668-3004
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH LIOTTA
  • NPI Number: 1467279844
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D2325945
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 112 THOMAS JOHNSON DR STE 130
City FREDERICK
State MD
ZIP 21702
Phone 301 668-3004
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 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director ELIZABETH LIOTTA

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