25D2156287 CLIA NUMBER - FAST PACE MISSISSIPPI, PLLC

Laboratory Demographics

  • CLIA Code: 25D2156287
  • Facility Name: FAST PACE MISSISSIPPI, PLLC
  • Facility Address: 1050 US HWY 98
    COLUMBIA, MS
    ZIP 39429
  • Facility Phone: 601 522-2095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1467119735
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2156287
LAB Type Physician Office
Facility Name FAST PACE MISSISSIPPI, PLLC
Street 1050 US HWY 98
City COLUMBIA
State MS
ZIP 39429
Phone 601 522-2095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
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