CLIA lab

CLIA 11D2212972: Pavan Putra Investment Group, LLC

Pooler, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2212972 belongs to Pavan Putra Investment Group, LLC in Pooler, GA.

Certificate of Waiver, effective February 9, 2025, expires February 8, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 9, 2025
Certificate expiration
February 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 9, 2021
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2212972
Lab name
Pavan Putra Investment Group, LLC
Additional name
DBA Apollo Pharmacy #2
Address
111 Canal Street, Suite 101, Pooler, GA 31322
Phone
(912) 988-7185
Fax
(912) 988-1045

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pooler, GA

Related

Questions

What is the CLIA number for Pavan Putra Investment Group, LLC in Pooler?

11D2212972, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pavan Putra Investment Group, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2212972 expire?

The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.

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