44D2129782 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2129782
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 321 CENTRAL AVE EAST
    JAMESTOWN, TN
    ZIP 38556
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. SELENA GURLEY
  • NPI Number: 1427713890
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2129782
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 321 CENTRAL AVE EAST
City JAMESTOWN
State TN
ZIP 38556
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 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director MS. 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: 9/29/2025