52D2225376 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 52D2225376
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: W176N9352 RIVER CREST DR STE 3
    MENOMONEE FALLS, WI
    ZIP 53051
  • Facility Phone: (262) 345-2898
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ASHLEY M. DIETRICH
  • NPI Number: 1578515904
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 52D2225376
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street W176N9352 RIVER CREST DR STE 3
City MENOMONEE FALLS
State WI
ZIP 53051
Phone 2623452898
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director DR. ASHLEY M. DIETRICH

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This page was last updated on: 5/18/2026