18D2118604 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2118604
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 2955 FORT CAMPBELL BLVD
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: (270) 632-1548
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1326600974
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2118604
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 2955 FORT CAMPBELL BLVD
City HOPKINSVILLE
State KY
ZIP 42240
Phone 2706321548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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This page was last updated on: 5/18/2026