26D2320707 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 26D2320707
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1800 WENTZVILLE PARKWAY
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 200-9220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEANA L. KADYK
  • NPI Number: 1770396277
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2320707
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1800 WENTZVILLE PARKWAY
City WENTZVILLE
State MO
ZIP 63385
Phone 636 200-9220
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 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director DEANA L. KADYK

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