Hi Mark,
My understanding is that LAStools must be able to look up your coordinate system in the PCS.CSV file that is located in LAStools/bin/serv/geo/pcs.csv. From my observations, it doesn't try to interpret the WKT string. However, there is a bit of a hack that I have used with success in the past and if you were able to roll your own WKT string, you should be able to figure this one out as well.
You can add your own entries into the pcs.csv. Im my case I needed ESRI:102008, but with NAD83(2011) instead of NAD83 original. So I picked an unoccupied EPSG code (32767) and copied the relevant parameters into the entry as such.
32767,North America Albers Equal Area Conic,9001,6318,5068,9822,1,0,4499,8821,40,9102,8822,-96,9102,8823,20,9110,8824,60,9110,8826,0,9001,8827,0,9001,,,,,,,,,,
The hard part is that there is no header in the pcs.csv file, so you will have to do a bit of reverse engineering to figure out what the fields are. I would help, but it was a "one and done" for me and I don't remember what the fields are any more. In my case, I picked an EPSG code that was close to what I wanted (EPSG:6350) and used it as "a known" to reverse the fields I needed. In your case, maybe EPSG:3468?
Then test:
michaelperdue@NeutronWrangler ~
>echo "0 0 0" > foobar.txt
michaelperdue@NeutronWrangler ~
>las2las -i foobar.txt -iparse xyz -epsg 32767 -target_epsg 6344 -stdout -otxt -oparse xyz
243900.35 4432069.06 0.00
From there you will be able to use las2las to reproject the file as needed. But note that the code is bogus and no other software will recognize it. Any TIF files generated by lastools will not have the correct SRS embedded. You can embed the proper WKT string into the file afterwards with las2las -load_ogc_wkt [f].
Mike
PS: Note that you can not choose any value you want for an EPSG code. If I change my home grown 32767 code to 32768...
michaelperdue@NeutronWrangler ~
>las2las -i foobar.txt -iparse xyz -epsg 32768 -target_epsg 6344 -stdout -otxt -oparse xyz
ERROR: '-epsg' needs 1 argument: EPSG code but 32768 is not a valid code