49D2139632 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 49D2139632
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 44 MEDICAL PARK BLVD, SUITE A
    PETERSBURG, VA
    ZIP 23805
  • Facility Phone: (804) 324-4511
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARON S. CAMDEN
  • NPI Number: 1891169975
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2139632
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 44 MEDICAL PARK BLVD, SUITE A
City PETERSBURG
State VA
ZIP 23805
Phone 8043244511
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 11/6/2025
Certificate Expiration Date 11/5/2027
Facility Type Physician Office
Lab Director SHARON S. CAMDEN

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This page was last updated on: 5/18/2026