52D2022686 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2022686
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 510 N 17TH AVE SUITE C
    WAUSAU, WI
    ZIP 54401
  • Facility Phone: 715 848-5711
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SOLOMON C. SHOCKMAN
  • NPI Number: 1003105198
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2022686
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 510 N 17TH AVE SUITE C
City WAUSAU
State WI
ZIP 54401
Phone 715 848-5711
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 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director DR. SOLOMON C. SHOCKMAN

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