52D2094124 CLIA NUMBER - FOREFRONT DERMATOLOGY-PP EAST KENOSHA

Laboratory Demographics

  • CLIA Code: 52D2094124
  • Facility Name: FOREFRONT DERMATOLOGY-PP EAST KENOSHA
  • Facility Address: 8501 75TH ST STE J
    KENOSHA, WI
    ZIP 53142
  • Facility Phone: 262 898-4400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ERIC J. MARSH
  • NPI Number: 1477001956
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2094124
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY-PP EAST KENOSHA
Street 8501 75TH ST STE J
City KENOSHA
State WI
ZIP 53142
Phone 262 898-4400
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 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director DR. ERIC J. MARSH

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