44D2169882 CLIA NUMBER - FAST PACE MEDICAL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 44D2169882
  • Facility Name: FAST PACE MEDICAL CLINIC PLLC
  • Facility Address: 350 S CHARLES G SEIVERS BLVD
    CLINTON, TN
    ZIP 37716
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1093478117
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2169882
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC PLLC
Street 350 S CHARLES G SEIVERS BLVD
City CLINTON
State TN
ZIP 37716
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 7/30/2025
Certificate Expiration Date 7/29/2027
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: 9/29/2025