52D2032824 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2032824
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1300 S GREEN BAY RD, STE 100
    RACINE, WI
    ZIP 53406
  • Facility Phone: 262 619-4191
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES V. LYNOTT
  • NPI Number: 1083981906
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2032824
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1300 S GREEN BAY RD, STE 100
City RACINE
State WI
ZIP 53406
Phone 262 619-4191
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 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director DR. JAMES V. LYNOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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