18D2132220 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2132220
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 239 N 12TH STREET
    MIDDLESBORO, KY
    ZIP 40965
  • Facility Phone: 606 619-3060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1952022709
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2132220
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 239 N 12TH STREET
City MIDDLESBORO
State KY
ZIP 40965
Phone 606 619-3060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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