44D2059016 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2059016
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 1705 WEST REELFOOT AVE
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1992460190
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2059016
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 1705 WEST REELFOOT AVE
City UNION CITY
State TN
ZIP 38261
Phone 931 253-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director SELENA GURLEY

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This page was last updated on: 6/4/2025