11D2211986 CLIA NUMBER - PAVAN PUTRA PHARMACY INC, DBA APOLLO PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2211986
  • Facility Name: PAVAN PUTRA PHARMACY INC, DBA APOLLO PHARMACY
  • Facility Address: 418 W BROUGHTON STREET
    SAVANNAH, GA
    ZIP 31401
  • Facility Phone: 912 999-6101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAUSHAL PATEL
  • NPI Number: 1144674193
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2211986
LAB Type Pharmacy
Facility Name PAVAN PUTRA PHARMACY INC, DBA APOLLO PHARMACY
Street 418 W BROUGHTON STREET
City SAVANNAH
State GA
ZIP 31401
Phone 912 999-6101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director KAUSHAL PATEL

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