08D2188088 CLIA NUMBER - BANYAN DELAWARE, LLC

Laboratory Demographics

  • CLIA Code: 08D2188088
  • Facility Name: BANYAN DELAWARE, LLC
  • Facility Address: 21 W CLARKE AVE, SUITE 4001
    MILFORD, DE
    ZIP 19963
  • Facility Phone: 302 315-0002
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. JEET JOSHI
  • NPI Number: 1316579634
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 08D2188088
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BANYAN DELAWARE, LLC
Street 21 W CLARKE AVE, SUITE 4001
City MILFORD
State DE
ZIP 19963
Phone 302 315-0002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DR. JEET JOSHI

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