44D2105401 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2105401
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 756 COSBY HWY
    NEWPORT, TN
    ZIP 37821
  • Facility Phone: 615 988-1571
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1457716706
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2105401
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 756 COSBY HWY
City NEWPORT
State TN
ZIP 37821
Phone 615 988-1571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director SELENA GURLEY

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