10D2256359 CLIA NUMBER - APOLLO PAIN CARE LLC

Laboratory Demographics

  • CLIA Code: 10D2256359
  • Facility Name: APOLLO PAIN CARE LLC
  • Facility Address: 1190 NW 95TH ST, STE 402
    MIAMI, FL
    ZIP 33150
  • Facility Phone: 786 780-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PADMAJA R. YATHAM
  • NPI Number: 1902271182
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2256359
LAB Type Physician Office
Facility Name APOLLO PAIN CARE LLC
Street 1190 NW 95TH ST, STE 402
City MIAMI
State FL
ZIP 33150
Phone 786 780-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director PADMAJA R. YATHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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