44D2268102 CLIA NUMBER - FAST PACE MEDICAL CLINIC PLLC

Laboratory Demographics

CLIA Number: 44D2268102

Facility Name: FAST PACE MEDICAL CLINIC PLLC

Facility Address:
880 ISABELLA LANE
SMYRNA, TN
ZIP 37167
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Facility Phone Number: 931 253-1110

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598422842

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2268102
LAB Type	Physician Office
Facility Name	FAST PACE MEDICAL CLINIC PLLC
Street	880 ISABELLA LANE
City	SMYRNA
State	TN
ZIP	37167
Phone	931 253-1110
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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