37D2271538 CLIA NUMBER - LIGHTHOUSE BEHAVIORAL WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 37D2271538
  • Facility Name: LIGHTHOUSE BEHAVIORAL WELLNESS CENTER
  • Facility Address: 2530 S COMMERCE BLDG B
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 319-7305
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TUFAL KHAN
  • NPI Number: 1013542190
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 37D2271538
LAB Type Community Clinic
Facility Name LIGHTHOUSE BEHAVIORAL WELLNESS CENTER
Street 2530 S COMMERCE BLDG B
City ARDMORE
State OK
ZIP 73401
Phone 580 319-7305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Community Clinic
Lab Director TUFAL KHAN

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