10D2323061 CLIA NUMBER - ULTRA HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2323061
  • Facility Name: ULTRA HEALTH LLC
  • Facility Address: 6400 DAVIS BLVD SUITE 103
    NAPLES, FL
    ZIP 34104
  • Facility Phone: 239 499-0900
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CAROLINA MEJIA OTERO
  • NPI Number: 1821785783
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2323061
LAB Type Community Clinic
Facility Name ULTRA HEALTH LLC
Street 6400 DAVIS BLVD SUITE 103
City NAPLES
State FL
ZIP 34104
Phone 239 499-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Community Clinic
Lab Director CAROLINA MEJIA OTERO

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