10D2291588 CLIA NUMBER - BANYAN GULF BREEZE LLC

Laboratory Demographics

  • CLIA Code: 10D2291588
  • Facility Name: BANYAN GULF BREEZE LLC
  • Facility Address: 4400 HICKORY SHORES BLVD
    GULF BREEZE, FL
    ZIP 32563
  • Facility Phone: 954 533-7705
  • Facility Type: Other - SUD TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: SHERILYN L. TORO
  • NPI Number: 1386321180
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2291588
LAB Type Other - SUD TREATMENT CENTER
Facility Name BANYAN GULF BREEZE LLC
Street 4400 HICKORY SHORES BLVD
City GULF BREEZE
State FL
ZIP 32563
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 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Other - SUD TREATMENT CENTER
Lab Director SHERILYN L. TORO

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