52D2053212 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2053212
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1610 MAXWELL DRIVE SUITE 210
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 386-5528
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DIANA K. COHEN
  • NPI Number: 1285972836
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2053212
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1610 MAXWELL DRIVE SUITE 210
City HUDSON
State WI
ZIP 54016
Phone 715 386-5528
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 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director DR. DIANA K. COHEN

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