06D2301370 CLIA NUMBER - BANYAN CASTLE ROCK, LLC

Laboratory Demographics

CLIA Code: 06D2301370
Facility Name: BANYAN CASTLE ROCK, LLC
Facility Address: 1055 S PERRY ST
CASTLE ROCK, CO
ZIP 80104
Facility Phone: (954) 533-7705
Facility Type: Other - SUD TREATMENT CENTER
Facility Type: Waiver
Lab Director: DARRIN MANGIACARNE
NPI Number: 1659242626
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	06D2301370
LAB Type	Other - SUD TREATMENT CENTER
Facility Name	BANYAN CASTLE ROCK, LLC
Street	1055 S PERRY ST
City	CASTLE ROCK
State	CO
ZIP	80104
Phone	9545337705
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/25/2026
Certificate Expiration Date	3/24/2028
Facility Type	Other - SUD TREATMENT CENTER
Lab Director	DARRIN MANGIACARNE

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This page was last updated on: 5/18/2026