18D2115139 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2115139
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 1350 N MAIN ST
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: 270 245-2554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1780305532
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2115139
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 1350 N MAIN ST
City MADISONVILLE
State KY
ZIP 42431
Phone 270 245-2554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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This page was last updated on: 9/29/2025