37D2049200 CLIA NUMBER - PAHL PHARMACEUTICAL PROFESSIONALS, LLC

Laboratory Demographics

  • CLIA Code: 37D2049200
  • Facility Name: PAHL PHARMACEUTICAL PROFESSIONALS, LLC
  • Facility Address: 4900 N PORTLAND AVE, STE 141
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 525-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. PAHL
  • NPI Number: 1043854300
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 37D2049200
LAB Type Physician Office
Facility Name PAHL PHARMACEUTICAL PROFESSIONALS, LLC
Street 4900 N PORTLAND AVE, STE 141
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 525-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director MARK A. PAHL

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