23D2069833 CLIA NUMBER - FOREFRONT DERMATOLOGY S C

Laboratory Demographics

  • CLIA Code: 23D2069833
  • Facility Name: FOREFRONT DERMATOLOGY S C
  • Facility Address: 1007 HARBOR HILLS DRIVE SUITE C
    MARQUETTE, MI
    ZIP 49855
  • Facility Phone: 920 663-9146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN P. WUENNENBERG
  • NPI Number: 1619393758
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2069833
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY S C
Street 1007 HARBOR HILLS DRIVE SUITE C
City MARQUETTE
State MI
ZIP 49855
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 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director JOHN P. WUENNENBERG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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