44D2234762 CLIA NUMBER - FAST PACE MEDICAL CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 44D2234762
  • Facility Name: FAST PACE MEDICAL CLINIC PLLC
  • Facility Address: 6411 HIXSON PIKE
    HIXSON, TN
    ZIP 37343
  • Facility Phone: 423 352-9106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1548003148
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2234762
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC PLLC
Street 6411 HIXSON PIKE
City HIXSON
State TN
ZIP 37343
Phone 423 352-9106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director SELENA GURLEY

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