30D2076053 CLIA NUMBER - FOREFRONT DERMATOLOGY - NEW HAMPSHIRE, PLLC DBA SEACOAST DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 30D2076053
  • Facility Name: FOREFRONT DERMATOLOGY - NEW HAMPSHIRE, PLLC DBA SEACOAST DERMATOLOGY
  • Facility Address: 330 BORTHWICK AVE, STE 303
    PORTSMOUTH, NH
    ZIP 03801
  • Facility Phone: 603 431-5205
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES G. DINULOS
  • NPI Number: 1215354683
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 30D2076053
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY - NEW HAMPSHIRE, PLLC DBA SEACOAST DERMATOLOGY
Street 330 BORTHWICK AVE, STE 303
City PORTSMOUTH
State NH
ZIP 03801
Phone 603 431-5205
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 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director JAMES G. DINULOS

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