CLIA lab
CLIA 52D2040979: Forefront Dermatology, SC
Waupaca, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2040979 belongs to Forefront Dermatology, SC in Waupaca, WI.
Certificate for Provider-Performed Microscopy Procedures, effective May 15, 2026, expires May 14, 2028.
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
- May 15, 2026
- Certificate expiration
- May 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 2012
- 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
- 52D2040979
- Lab name
- Forefront Dermatology, SC
- Address
- 1990 Godfrey Dr Ste 119, Waupaca, WI 54981
- Phone
- (715) 258-3041
- Fax
- (715) 258-3116
Annual test volume the lab reported
- Waived tests
- 25
- Provider-performed microscopy tests
- 25
- Total
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Forefront Dermatology, SC in Waupaca?
52D2040979, 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 52D2040979 expire?
The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.