26D2121219 CLIA NUMBER - FOREFRONT DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 26D2121219
  • Facility Name: FOREFRONT DERMATOLOGY
  • Facility Address: 5700 MEXICO ROAD STE 14
    SAINT PETERS, MO
    ZIP 63376
  • Facility Phone: 314 878-6647
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PAUL GRUBER
  • NPI Number: 1972059897
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2121219
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY
Street 5700 MEXICO ROAD STE 14
City SAINT PETERS
State MO
ZIP 63376
Phone 314 878-6647
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 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director PAUL GRUBER

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