52D2086319 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2086319
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 715 SUPERIOR RD STE 120
    GREEN BAY, WI
    ZIP 54311
  • Facility Phone: 920 406-9803
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SEMYON ZARKHIN
  • NPI Number: 1093044950
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2086319
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 715 SUPERIOR RD STE 120
City GREEN BAY
State WI
ZIP 54311
Phone 920 406-9803
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 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director DR. SEMYON ZARKHIN

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