44D2217738 CLIA NUMBER - FAST PACE MEDICAL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 44D2217738
  • Facility Name: FAST PACE MEDICAL CLINIC PLLC
  • Facility Address: 6309 HWY 58
    HARRISON, TN
    ZIP 37341
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1396402640
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2217738
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC PLLC
Street 6309 HWY 58
City HARRISON
State TN
ZIP 37341
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 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director SELENA GURLEY

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