52D1095337 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D1095337
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 111 WISCONSIN AMERICAN DR
    FOND DU LAC, WI
    ZIP 54937
  • Facility Phone: 920 683-5278
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SEAN F. PATTEE
  • NPI Number: 1306085998
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D1095337
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 111 WISCONSIN AMERICAN DR
City FOND DU LAC
State WI
ZIP 54937
Phone 920 683-5278
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 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director DR. SEAN F. PATTEE

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