25D2153914 CLIA NUMBER - FAST PACE MISSISSIPPI, PLLC

Laboratory Demographics

  • CLIA Code: 25D2153914
  • Facility Name: FAST PACE MISSISSIPPI, PLLC
  • Facility Address: 1806 SIMPSON HWY 49
    MAGEE, MS
    ZIP 39111
  • Facility Phone: 601 439-1420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1003573379
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2153914
LAB Type Physician Office
Facility Name FAST PACE MISSISSIPPI, PLLC
Street 1806 SIMPSON HWY 49
City MAGEE
State MS
ZIP 39111
Phone 601 439-1420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DANA MARTIN

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