39D1093889 CLIA NUMBER - FOREFRONT DERMATOLOGY, S C

Laboratory Demographics

CLIA Code: 39D1093889
Facility Name: FOREFRONT DERMATOLOGY, S C
Facility Address: 4290 WILLIAM FLYNN HIGHWAY SUITE 205
ALLISON PARK, PA
ZIP 15101
Facility Phone: 920 663-9008
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: KIMBERLY A. RAU MD
NPI Number: 1841333283
Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name	Field Value
CLIA Number	39D1093889
LAB Type	Physician Office
Facility Name	FOREFRONT DERMATOLOGY, S C
Street	4290 WILLIAM FLYNN HIGHWAY SUITE 205
City	ALLISON PARK
State	PA
ZIP	15101
Phone	920 663-9008
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	1/6/2025
Certificate Expiration Date	1/5/2027
Facility Type	Physician Office
Lab Director	KIMBERLY A. RAU MD

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