18D2173430 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2173430
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 115 LEE AVENUE SUITE 101
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 727-5296
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1588447973
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2173430
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 115 LEE AVENUE SUITE 101
City PIKEVILLE
State KY
ZIP 41501
Phone 606 727-5296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
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