18D2240398 CLIA NUMBER - FAST PACE KENTUCKY PLLC

Laboratory Demographics

  • CLIA Code: 18D2240398
  • Facility Name: FAST PACE KENTUCKY PLLC
  • Facility Address: 60 FITZ GILBERT RD
    HAZARD, KY
    ZIP 41701
  • Facility Phone: 606 716-6017
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. DANA MARTIN
  • NPI Number: 1366003550
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2240398
LAB Type Physician Office
Facility Name FAST PACE KENTUCKY PLLC
Street 60 FITZ GILBERT RD
City HAZARD
State KY
ZIP 41701
Phone 606 716-6017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director MS. DANA MARTIN

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