45D2170288 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC DBA ADVANCED DERMATOLOGY ,A FOREFRONT DERMATOLOGY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2170288
  • Facility Name: FOREFRONT DERMATOLOGY, SC DBA ADVANCED DERMATOLOGY ,A FOREFRONT DERMATOLOGY PRACTICE
  • Facility Address: 1615 W LEAGUE CITY PKWY, STE 300
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 920 663-9035
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEREMIAH H. AU
  • NPI Number: 1972832574
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2170288
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC DBA ADVANCED DERMATOLOGY ,A FOREFRONT DERMATOLOGY PRACTICE
Street 1615 W LEAGUE CITY PKWY, STE 300
City LEAGUE CITY
State TX
ZIP 77573
Phone 920 663-9035
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Physician Office
Lab Director JEREMIAH H. AU

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