18D2197287 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2197287
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 480 INDIAN MOUND DR
    MOUNT STERLING, KY
    ZIP 40353
  • Facility Phone: 859 398-2001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1306568167
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2197287
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 480 INDIAN MOUND DR
City MOUNT STERLING
State KY
ZIP 40353
Phone 859 398-2001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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