CLIA lab
CLIA 04D2311361: Fast Pace Health Mississippi PLLC
Russellville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2311361 belongs to Fast Pace Health Mississippi PLLC in Russellville, AR.
Certificate of Waiver, effective September 20, 2026, expires September 19, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2311361
- Lab name
- Fast Pace Health Mississippi PLLC
- Address
- 812 N Arkansas Ave, Russellville, AR 72801
- Phone
- (931) 253-1110
- Fax
- (931) 722-9919
Annual test volume the lab reported
- Waived tests
- 8,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Russellville, AR
- Ar Heart Hospital Rural Health Svcs - RussellvilleCertificate of Waiver, Physician office04D1096786
- Arcare 92Certificate of Waiver, Federally qualified health center04D2308343
- Arcare 98Certificate of Waiver, Federally qualified health center04D2329669
- Arkansas DermatologyCertificate of Compliance, Physician office04D2178013
- Arkansas Dermatology CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D0949890
- Arkansas Occupational Health Clinic - RussellvilleCertificate of Waiver, Physician office04D2119425
- Arkansas Renal Group, PA - RussellvilleCertificate of Waiver, Physician office04D2112078
- Arkansas Tech University Health & Wellness CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service04D0909870
- Arkansas Urology/RussellvilleCertificate for Provider-Performed Microscopy Procedures, Physician office04D1100397
- BPC Plasma, IncCertificate of Accreditation, Independent04D2162256
Related
Questions
What is the CLIA number for Fast Pace Health Mississippi PLLC in Russellville?
04D2311361, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fast Pace Health Mississippi PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2311361 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.