10D2105083 CLIA NUMBER - BANYAN DETOX LLC

Laboratory Demographics

  • CLIA Code: 10D2105083
  • Facility Name: BANYAN DETOX LLC
  • Facility Address: 201 SE OSCEOLA ST
    STUART, FL
    ZIP 34994
  • Facility Phone: 954 533-7705
  • Facility Type: Other - SUD TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: JUAN GARCIA
  • NPI Number: 1407221328
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2105083
LAB Type Other - SUD TREATMENT CENTER
Facility Name BANYAN DETOX LLC
Street 201 SE OSCEOLA ST
City STUART
State FL
ZIP 34994
Phone 954 533-7705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - SUD TREATMENT CENTER
Lab Director JUAN GARCIA

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