50D2330200 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 50D2330200
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 2771 HEMLOCK ST STE 100
    BREMERTON, WA
    ZIP 98310
  • Facility Phone: 360 360-2763
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN FAJARDO
  • NPI Number: 1194517763
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D2330200
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 2771 HEMLOCK ST STE 100
City BREMERTON
State WA
ZIP 98310
Phone 360 360-2763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KEVIN FAJARDO

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