11D2212972 CLIA NUMBER - PAVAN PUTRA INVESTMENT GROUP, LLC DBA APOLLO PHARMACY #2

Laboratory Demographics

  • CLIA Code: 11D2212972
  • Facility Name: PAVAN PUTRA INVESTMENT GROUP, LLC DBA APOLLO PHARMACY #2
  • Facility Address: 111 CANAL STREET, SUITE 101
    POOLER, GA
    ZIP 31322
  • Facility Phone: (912) 988-7185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATEL DHRUMINKUMAR
  • NPI Number: 1932654860
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2212972
LAB Type Pharmacy
Facility Name PAVAN PUTRA INVESTMENT GROUP, LLC DBA APOLLO PHARMACY #2
Street 111 CANAL STREET, SUITE 101
City POOLER
State GA
ZIP 31322
Phone 9129887185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director PATEL DHRUMINKUMAR

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: 6/29/2026