44D2186841 CLIA NUMBER - FAST PACE MEDICAL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 44D2186841
  • Facility Name: FAST PACE MEDICAL CLINIC PLLC
  • Facility Address: 607 HIGHWAY 76 E
    WHITE HOUSE, TN
    ZIP 37188
  • Facility Phone: 901 351-1791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA MARTIN
  • NPI Number: 1912664293
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2186841
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC PLLC
Street 607 HIGHWAY 76 E
City WHITE HOUSE
State TN
ZIP 37188
Phone 901 351-1791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director DANA MARTIN

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