26D1099873 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 26D1099873
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 5721 OSAGE BEACH PKWY STE 100
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 573 302-4696
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN D. DESPAIN
  • NPI Number: 1891179040
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D1099873
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 5721 OSAGE BEACH PKWY STE 100
City OSAGE BEACH
State MO
ZIP 65065
Phone 573 302-4696
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 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director JOHN D. DESPAIN

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