44D2080352 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2080352
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 101 WEST BROAD ST
    SMITHVILLE, TN
    ZIP 37166
  • Facility Phone: 855 632-3278
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1073014643
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 44D2080352
LAB Type Other - URGENT CARE CLINIC
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 101 WEST BROAD ST
City SMITHVILLE
State TN
ZIP 37166
Phone 855 632-3278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Other - URGENT CARE CLINIC
Lab Director SELENA GURLEY

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