CLIA lab
CLIA 52D2029954: Forefront Dermatology, SC
Wautoma, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2029954 belongs to Forefront Dermatology, SC in Wautoma, WI.
Certificate of Waiver, effective November 27, 2025, expires November 26, 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 of Waiver
- Certificate effective
- November 27, 2025
- Certificate expiration
- November 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2029954
- Lab name
- Forefront Dermatology, SC
- Address
- W7713 Johnson Ct, Wautoma, WI 54982
- Phone
- (920) 895-1004
- Fax
- (920) 895-1005
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Waushara County HealthCertificate of Waiver, Public health laboratory52D0712972
- Waushara County JailCertificate of Waiver, Other52D2264111
- Wautoma Hometown Pharmacy LLCCertificate of Waiver, Pharmacy52D2196191
Related
Questions
What is the CLIA number for Forefront Dermatology, SC in Wautoma?
52D2029954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Forefront Dermatology, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2029954 expire?
The CMS file lists November 26, 2027 as the certificate expiration date; the certificate took effect November 27, 2025.