34D2328867 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 34D2328867
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 7903 PROVIDENCE RD STE 125
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 727-7355
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENDALL L. FLANIGAN
  • NPI Number: 1285436675
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D2328867
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 7903 PROVIDENCE RD STE 125
City CHARLOTTE
State NC
ZIP 28277
Phone 704 727-7355
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 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director KENDALL L. FLANIGAN

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