25D2226635 CLIA NUMBER - FAST PACE MISSISSIPPI, PLLC

Laboratory Demographics

  • CLIA Code: 25D2226635
  • Facility Name: FAST PACE MISSISSIPPI, PLLC
  • Facility Address: 296 EASTSIDE DRIVE
    NEWTON, MS
    ZIP 39345
  • Facility Phone: 601 228-8985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1851058044
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2226635
LAB Type Physician Office
Facility Name FAST PACE MISSISSIPPI, PLLC
Street 296 EASTSIDE DRIVE
City NEWTON
State MS
ZIP 39345
Phone 601 228-8985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DANA MARTIN

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