25D2238607 CLIA NUMBER - FAST PACE MISSISSIPPI, PLLC

Laboratory Demographics

  • CLIA Code: 25D2238607
  • Facility Name: FAST PACE MISSISSIPPI, PLLC
  • Facility Address: 508 HWY 61 N
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 861-1631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1215694419
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2238607
LAB Type Physician Office
Facility Name FAST PACE MISSISSIPPI, PLLC
Street 508 HWY 61 N
City NATCHEZ
State MS
ZIP 39120
Phone 601 861-1631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director DANA MARTIN

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