52D2005812 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2005812
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 2351 STATE RD 44
    OSHKOSH, WI
    ZIP 54904
  • Facility Phone: 920 651-8855
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LISA LB CAMPBELL
  • NPI Number: 1073837563
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2005812
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 2351 STATE RD 44
City OSHKOSH
State WI
ZIP 54904
Phone 920 651-8855
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 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director DR. LISA LB CAMPBELL

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