36D2148750 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 36D2148750
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1149 STONE DRIVE SUITE 100
    HARRISON, OH
    ZIP 45030
  • Facility Phone: 513 845-8120
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW M. DUBOIS
  • NPI Number: 1891183059
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 36D2148750
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1149 STONE DRIVE SUITE 100
City HARRISON
State OH
ZIP 45030
Phone 513 845-8120
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 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director ANDREW M. DUBOIS

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