14D2158927 CLIA NUMBER - HEARTLAND BANYAN, L L C

Laboratory Demographics

  • CLIA Code: 14D2158927
  • Facility Name: HEARTLAND BANYAN, L L C
  • Facility Address: 1237 E 1600 N ROAD
    GILMAN, IL
    ZIP 60938
  • Facility Phone: 954 533-7705
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: SHERILYN TORO
  • NPI Number: 1215404819
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2158927
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name HEARTLAND BANYAN, L L C
Street 1237 E 1600 N ROAD
City GILMAN
State IL
ZIP 60938
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 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director SHERILYN TORO

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