CLIA lab
CLIA 14D2275641: Lakeside Dermatology, A Forefront Derm Practice
Libertyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2275641 belongs to Lakeside Dermatology, A Forefront Derm Practice in Libertyville, IL.
Certificate for Provider-Performed Microscopy Procedures, effective January 25, 2025, expires January 24, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2275641
- Lab name
- Lakeside Dermatology, A Forefront Derm Practice
- Additional name
- Forefront Dermatology Practice
- Address
- 1240 N Milwaukee Ave - Ste B, Libertyville, IL 60048
- Phone
- (920) 663-9008
- Fax
- (920) 684-1439
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Libertyville, IL
- 730 North OptometryCertificate of Waiver, Physician office14D2239389
- Advanced Diabetes & Endocrine CenterCertificate of Waiver, Physician office14D1061210
- Advanced Eyecare ConsultantsCertificate of Waiver, Physician office14D2109717
- Advocate Condell Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center14D2120568
- Advocate Condell Medical CenterCertificate of Accreditation, Hospital14D0042355
- Advocate Condell Medical CenterCertificate of Waiver, Community clinic14D2021927
- Advocate Condell Medical Center EMS SystemCertificate of Waiver, Ambulance14D0993092
- Advocate Infusion Center - LibertyvilleCertificate of Accreditation, Physician office14D0678108
- Advocate Medical Group-Libertyville 825 MilwaukeeCertificate of Waiver, Physician office14D0856190
- Afc Urgent Care LibertyvilleCertificate of Waiver, Other14D2307878
Related
Questions
What is the CLIA number for Lakeside Dermatology, A Forefront Derm Practice in Libertyville?
14D2275641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Dermatology, A Forefront Derm Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D2275641 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.