26D0960825 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 26D0960825
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1223 MAPLE STREET
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 920 663-9146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SAMANTHA MCNAIL
  • NPI Number: 1003290156
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0960825
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1223 MAPLE STREET
City FARMINGTON
State MO
ZIP 63640
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 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director SAMANTHA MCNAIL

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This page was last updated on: 6/4/2025