CLIA lab
CLIA 52D0394173: Forefront Dermatology, SC
Beaver Dam, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0394173 belongs to Forefront Dermatology, SC in Beaver Dam, WI.
Certificate for Provider-Performed Microscopy Procedures, effective January 6, 2025, expires January 5, 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 6, 2025
- Certificate expiration
- January 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0394173
- Lab name
- Forefront Dermatology, SC
- Address
- 109 Warren St Ste 1, Beaver Dam, WI 53916
- Phone
- (920) 885-2622
- Fax
- (920) 885-4419
Annual test volume the lab reported
- Provider-performed microscopy tests
- 6
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Beaver Dam, WI
- Bdch Hillside Home Health Care/HospiceCertificate of Waiver, Hospice52D0684577
- Bdch Inc-Hillside ManorCertificate of Waiver, Skilled nursing or nursing facility52D0670224
- Beaver Dam Al Operations MC, LLCCertificate of Waiver, Assisted living facility52D2175791
- Beaver Dam Al Operations, LLCCertificate of Waiver, Assisted living facility52D2175793
- Beaver Dam CbocCertificate of Accreditation, Community clinic52D1016786
- Beaver Dam Fire DepartmentCertificate of Waiver, Ambulance52D0930689
- Beaver Dam Hometown PharmacyCertificate of Waiver, Pharmacy52D2124241
- Beaver Dam Medical ClinicsCertificate of Waiver, Physician office52D2003774
- Beaver Dam Reference LaboratoryCertificate of Accreditation, Independent52D0662012
- Beaver Dam Senior LivingCertificate of Waiver, Assisted living facility52D2194341
Related
Questions
What is the CLIA number for Forefront Dermatology, SC in Beaver Dam?
52D0394173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forefront Dermatology, SC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0394173 expire?
The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.