37D2112683 CLIA NUMBER - PAIN MANAGEMENT OF OKLAHOMA

Laboratory Demographics

  • CLIA Code: 37D2112683
  • Facility Name: PAIN MANAGEMENT OF OKLAHOMA
  • Facility Address: 1751 N ASPEN AVE
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 794-6608
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JOSHUA BORNHORST
  • NPI Number: 1780054627
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 37D2112683
LAB Type Physician Office
Facility Name PAIN MANAGEMENT OF OKLAHOMA
Street 1751 N ASPEN AVE
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 794-6608
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director JOSHUA BORNHORST

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