CLIA lab

CLIA 10D2291588: Banyan Gulf Breeze LLC

Gulf Breeze, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2291588 belongs to Banyan Gulf Breeze LLC in Gulf Breeze, FL.

Certificate of Waiver, effective October 12, 2025, expires October 11, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 12, 2025
Certificate expiration
October 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 12, 2023
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2291588
Lab name
Banyan Gulf Breeze LLC
Address
4400 Hickory Shores Blvd, Gulf Breeze, FL 32563
Phone
(954) 533-7705
Fax
(954) 533-7717

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Gulf Breeze, FL

Related

Questions

What is the CLIA number for Banyan Gulf Breeze LLC in Gulf Breeze?

10D2291588, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Banyan Gulf Breeze LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2291588 expire?

The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.

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