52D0702189 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D0702189
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1515 RANDOLPH COURT
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: (920) 663-9146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SEAN F. PATTEE
  • NPI Number: 1003356692
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D0702189
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1515 RANDOLPH COURT
City MANITOWOC
State WI
ZIP 54220
Phone 9206639146
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 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director DR. SEAN F. PATTEE

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