22D1038192 CLIA NUMBER - HYMAN INTEGRATIVE THERAPIES LLC DBA THE ULTRAWELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 22D1038192
  • Facility Name: HYMAN INTEGRATIVE THERAPIES LLC DBA THE ULTRAWELLNESS CENTER
  • Facility Address: 55 PITTSFIELD RD STE 9
    LENOX, MA
    ZIP 01240
  • Facility Phone: 866 752-0075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. HYMAN
  • NPI Number: 1508563594
  • Taxonomy: 202D00000X - Integrative Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D1038192
LAB Type Physician Office
Facility Name HYMAN INTEGRATIVE THERAPIES LLC DBA THE ULTRAWELLNESS CENTER
Street 55 PITTSFIELD RD STE 9
City LENOX
State MA
ZIP 01240
Phone 866 752-0075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director MARK A. HYMAN

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