25D2149700 CLIA NUMBER - FAST PACE MISSISSIPPI, PLLC

Laboratory Demographics

  • CLIA Code: 25D2149700
  • Facility Name: FAST PACE MISSISSIPPI, PLLC
  • Facility Address: 5713 HIGHWAY 45 ALT
    WEST POINT, MS
    ZIP 39773
  • Facility Phone: 662 854-9012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1073272795
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2149700
LAB Type Physician Office
Facility Name FAST PACE MISSISSIPPI, PLLC
Street 5713 HIGHWAY 45 ALT
City WEST POINT
State MS
ZIP 39773
Phone 662 854-9012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director 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