18D2136650 CLIA NUMBER - FAST PACE KENTUCKY, PLLC

Laboratory Demographics

  • CLIA Code: 18D2136650
  • Facility Name: FAST PACE KENTUCKY, PLLC
  • Facility Address: 333 SOUTH MAIN STREET
    LEITCHFIELD, KY
    ZIP 42754
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1356008601
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2136650
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY, PLLC
Street 333 SOUTH MAIN STREET
City LEITCHFIELD
State KY
ZIP 42754
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 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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