44D2169889 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

CLIA Number: 44D2169889

Facility Name: FAST PACE MEDICAL CLINIC, PLLC

Facility Address:
1112 N MAIN STREET
ERWIN, TN
ZIP 37650
Get Directions

Facility Phone Number: 931 253-1110

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356006712

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2169889
LAB Type	Physician Office
Facility Name	FAST PACE MEDICAL CLINIC, PLLC
Street	1112 N MAIN STREET
City	ERWIN
State	TN
ZIP	37650
Phone	931 253-1110
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024