52D2015844 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2015844
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1245 CHEYENNE AVE STE 301
    GRAFTON, WI
    ZIP 53024
  • Facility Phone: 262 377-2222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ERIC J. MARSH
  • NPI Number: 1710287503
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2015844
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1245 CHEYENNE AVE STE 301
City GRAFTON
State WI
ZIP 53024
Phone 262 377-2222
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 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director DR. ERIC J. MARSH

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