49D2190739 CLIA NUMBER - FOREFRONT DERMATOLOGY , SC DBA RIDGEVIEW DERMATOLOGY, A FOREFRONT DERM PRAC

Laboratory Demographics

  • CLIA Code: 49D2190739
  • Facility Name: FOREFRONT DERMATOLOGY , SC DBA RIDGEVIEW DERMATOLOGY, A FOREFRONT DERM PRAC
  • Facility Address: 300 ENTERPRISE DR STE E
    FOREST, VA
    ZIP 24551
  • Facility Phone: 434 333-7370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON D. GIVAN
  • NPI Number: 1053944652
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2190739
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY , SC DBA RIDGEVIEW DERMATOLOGY, A FOREFRONT DERM PRAC
Street 300 ENTERPRISE DR STE E
City FOREST
State VA
ZIP 24551
Phone 434 333-7370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director JASON D. GIVAN

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