18D2124830 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2124830
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 230 N GREEN ST
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 854-3196
  • 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 18D2124830
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 230 N GREEN ST
City HENDERSON
State KY
ZIP 42420
Phone 270 854-3196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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This page was last updated on: 3/20/2025