50D2106019 CLIA NUMBER - FRONTIER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 50D2106019
  • Facility Name: FRONTIER DERMATOLOGY
  • Facility Address: 4407 FAIRMONT AVE
    PORT ANGELES, WA
    ZIP 98363
  • Facility Phone: 503 362-8385
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DIETER SCHMIDT
  • NPI Number: 1417163635
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2106019
LAB Type Physician Office
Facility Name FRONTIER DERMATOLOGY
Street 4407 FAIRMONT AVE
City PORT ANGELES
State WA
ZIP 98363
Phone 503 362-8385
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 7/1/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DIETER SCHMIDT

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