18D2118735 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2118735
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 480 BULLION BLVD STE B
    WINCHESTER, KY
    ZIP 40391
  • Facility Phone: (859) 385-4222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1295598761
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 18D2118735
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 480 BULLION BLVD STE B
City WINCHESTER
State KY
ZIP 40391
Phone 8593854222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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