44D2260568 CLIA NUMBER - FAST PACE MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2260568
  • Facility Name: FAST PACE MEDICAL CLINIC, PLLC
  • Facility Address: 2660 MADISON STREET
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1952068207
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2260568
LAB Type Physician Office
Facility Name FAST PACE MEDICAL CLINIC, PLLC
Street 2660 MADISON STREET
City CLARKSVILLE
State TN
ZIP 37043
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 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Physician Office
Lab Director SELENA GURLEY

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