23D2086358 CLIA NUMBER - FOREFRONT DERMATOLOGY, S C

Laboratory Demographics

  • CLIA Code: 23D2086358
  • Facility Name: FOREFRONT DERMATOLOGY, S C
  • Facility Address: 1761 W M 43 HIGHWAY SUITE 2
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 945-5363
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID M. OBERLIN
  • NPI Number: 1538528633
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 23D2086358
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, S C
Street 1761 W M 43 HIGHWAY SUITE 2
City HASTINGS
State MI
ZIP 49058
Phone 269 945-5363
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 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director DAVID M. OBERLIN

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