23D0364185 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 23D0364185
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1602 MILITARY STREET
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 982-9527
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TUDOR PUIU
  • NPI Number: 1801285549
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D0364185
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1602 MILITARY STREET
City PORT HURON
State MI
ZIP 48060
Phone 810 982-9527
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 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director TUDOR PUIU

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