52D2108034 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2108034
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 1320 PABST FARMS CIR STE 180
    OCONOMOWOC, WI
    ZIP 53066
  • Facility Phone: 262 560-0322
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES V. LYNOTT
  • NPI Number: 1023482569
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2108034
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 1320 PABST FARMS CIR STE 180
City OCONOMOWOC
State WI
ZIP 53066
Phone 262 560-0322
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director DR. JAMES V. LYNOTT

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