18D2122317 CLIA NUMBER - FAST PACE KENTUCKY, PLLC

Laboratory Demographics

  • CLIA Code: 18D2122317
  • Facility Name: FAST PACE KENTUCKY, PLLC
  • Facility Address: 919 N MAIN STREET
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1891452157
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2122317
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY, PLLC
Street 919 N MAIN STREET
City MADISONVILLE
State KY
ZIP 42431
Phone 931 253-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director MS. DANA MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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