52D2075992 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2075992
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 735 N WATER ST, STE 820
    MILWAUKEE, WI
    ZIP 53202
  • Facility Phone: 414 276-1222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIK C. ALEXANDER
  • NPI Number: 1386061968
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2075992
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 735 N WATER ST, STE 820
City MILWAUKEE
State WI
ZIP 53202
Phone 414 276-1222
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director DR. ERIK C. ALEXANDER

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