Background: Ultra-low temperature (ULT) freezers are vital for storing biological samples in medical labs, but they have high energy demands and significant environmental impacts. This study investigates the energy efficiency, environmental footprint, and performance of different ULT freezer models. Methodology: A lifecycle assessment (LCA) was performed on five ULT freezers to evaluate global warming potential (GWP), ozone depletion potential (ODP), and energy consumption. Key performance metrics, including compressor efficiency, thermal stability, and material recyclability, were assessed under various operating conditions. Real-time data was collected over 30 days. Results: Freezers with variable-speed compressors exhibited up to 25% lower energy consumption than those with fixed-speed systems. Freezers using low-GWP refrigerants, such as CO₂, reduced total CO₂ emissions by up to 30% over a 10-year lifespan. Models incorporating advanced insulation materials, like vacuum-insulated panels (VIPs), showed improved thermal stability and reduced heat rejection, leading to lower cooling loads. Conclusion: Adopting advanced compressor technologies, low-GWP refrigerants, and high-performance insulation materials in ULT freezers can significantly reduce energy use and environmental impact. These innovations are crucial for sustainable medical laboratory operations, balancing performance with environmental responsibility.