Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
52D2023671
|
|
Clinical laboratory number
|
|
Lab Name
|
FOREFRONT DERMATOLOGY, SC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
715-524-5995
|
|
Laboratory telephone number
|
|
Fax
|
715-953-4257
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
N4531 STATE HIGHWAY 22 STE 5
|
|
Primary location adress line
|
|
City
|
SHAWANO
|
|
Primary location city name
|
|
State
|
WI
|
|
Primary location state name
|
|
Zip
|
54166-6173
|
|
Primary location postal code
|