52D2040976 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2040976
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 5501A VERN HOLMES DR
    STEVENS POINT, WI
    ZIP 54482
  • Facility Phone: 715 344-0172
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SOLOMON C. SHOCKMAN
  • NPI Number: 1053679290
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2040976
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 5501A VERN HOLMES DR
City STEVENS POINT
State WI
ZIP 54482
Phone 715 344-0172
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 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director DR. SOLOMON C. SHOCKMAN

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