44D2129777 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2129777
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 291 SOUTH DAISY STREET
    MORRISTOWN, TN
    ZIP 37813
  • Facility Phone: 615 510-3501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1194567743
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2129777
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 291 SOUTH DAISY STREET
City MORRISTOWN
State TN
ZIP 37813
Phone 615 510-3501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2023
Certificate Expiration Date 4/24/2025
Facility Type Physician Office
Lab Director SELENA GURLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025