52D1072577 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D1072577
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1400 SCHEURING RD
    DE PERE, WI
    ZIP 54115
  • Facility Phone: 920 964-0229
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LISA B. CAMPBELL
  • NPI Number: 1588857247
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D1072577
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1400 SCHEURING RD
City DE PERE
State WI
ZIP 54115
Phone 920 964-0229
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 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director DR. LISA B. CAMPBELL

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