26D1052803 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 26D1052803
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 12855 NORTH FORTY DR
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 878-5599
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KELLY WILMAS
  • NPI Number: 1033658083
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D1052803
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 12855 NORTH FORTY DR
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 878-5599
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 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director KELLY WILMAS

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