49D2128339 CLIA NUMBER - ULTRA HEALTH LLC

Laboratory Demographics

  • CLIA Code: 49D2128339
  • Facility Name: ULTRA HEALTH LLC
  • Facility Address: 13401 GOVERNOR GC PEERY HIGHWAY
    POUNDING MILL, VA
    ZIP 24637
  • Facility Phone: 276 385-1183
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NICHOLAS HARMAN
  • NPI Number: 1457891145
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2128339
LAB Type Rural Health Clinic
Facility Name ULTRA HEALTH LLC
Street 13401 GOVERNOR GC PEERY HIGHWAY
City POUNDING MILL
State VA
ZIP 24637
Phone 276 385-1183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Rural Health Clinic
Lab Director NICHOLAS HARMAN

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