18D1102645 CLIA NUMBER - ULTIMATE CARE MEDICAL SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 18D1102645
  • Facility Name: ULTIMATE CARE MEDICAL SERVICES, LLC
  • Facility Address: 3655 WINCHESTER AVENUE
    ASHLAND, KY
    ZIP 41101
  • Facility Phone: 606 393-4632
  • Facility Type: Other - OTP
  • Facility Type: Waiver
  • Lab Director: DR. ROSE O. URADU
  • NPI Number: 1225398159
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1102645
LAB Type Other - OTP
Facility Name ULTIMATE CARE MEDICAL SERVICES, LLC
Street 3655 WINCHESTER AVENUE
City ASHLAND
State KY
ZIP 41101
Phone 606 393-4632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - OTP
Lab Director DR. ROSE O. URADU

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