10D2320579 CLIA NUMBER - BANYAN SEBRING LLC DBA BANYAN TAMPA

Laboratory Demographics

  • CLIA Code: 10D2320579
  • Facility Name: BANYAN SEBRING LLC DBA BANYAN TAMPA
  • Facility Address: 10800 TEMPLE TERRACE
    SEMINOLE, FL
    ZIP 33772
  • Facility Phone: 954 533-7705
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: NARISSA ETWAROO
  • NPI Number: 1417690348
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2320579
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BANYAN SEBRING LLC DBA BANYAN TAMPA
Street 10800 TEMPLE TERRACE
City SEMINOLE
State FL
ZIP 33772
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director NARISSA ETWAROO

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