10D2321090 CLIA NUMBER - BANYAN GULF BREEZE LLC

Laboratory Demographics

  • CLIA Code: 10D2321090
  • Facility Name: BANYAN GULF BREEZE LLC
  • Facility Address: 1070 BAYSHORE ROAD
    GULF BREEZE, FL
    ZIP 32563
  • Facility Phone: 954 533-7705
  • Facility Type: Other - SUD TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: SHERILYN TORO
  • NPI Number: 1033899372
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2321090
LAB Type Other - SUD TREATMENT CENTER
Facility Name BANYAN GULF BREEZE LLC
Street 1070 BAYSHORE ROAD
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 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other - SUD TREATMENT CENTER
Lab Director SHERILYN TORO

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