37D2171947 CLIA NUMBER - PMO MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 37D2171947
  • Facility Name: PMO MEDICAL, PLLC
  • Facility Address: 555 W RUTH
    SALLISAW, OK
    ZIP 74955
  • Facility Phone: 918 638-1699
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KELLY HARDY
  • NPI Number: 1780109652
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D2171947
LAB Type Physician Office
Facility Name PMO MEDICAL, PLLC
Street 555 W RUTH
City SALLISAW
State OK
ZIP 74955
Phone 918 638-1699
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director KELLY HARDY

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