10D2126068 CLIA NUMBER - BOCA RI LLC DBA BANYAN BOCA

Laboratory Demographics

  • CLIA Code: 10D2126068
  • Facility Name: BOCA RI LLC DBA BANYAN BOCA
  • Facility Address: 1000 NW 15TH STREET
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: (954) 533-7705
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DARRIN MANGIACARNE
  • NPI Number: 1316806011
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2126068
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BOCA RI LLC DBA BANYAN BOCA
Street 1000 NW 15TH STREET
City BOCA RATON
State FL
ZIP 33486
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 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DARRIN MANGIACARNE

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