44D2046271 CLIA NUMBER - NATCHEZ TRACE YOUTH ACADEMY

Laboratory Demographics

  • CLIA Code: 44D2046271
  • Facility Name: NATCHEZ TRACE YOUTH ACADEMY
  • Facility Address: 415 SEVEN HAWKS LN
    WAVERLY, TN
    ZIP 37185
  • Facility Phone: 931 296-1183
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MELISSA SNYDER
  • NPI Number: 1902825151
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2046271
LAB Type School/Student Health Service
Facility Name NATCHEZ TRACE YOUTH ACADEMY
Street 415 SEVEN HAWKS LN
City WAVERLY
State TN
ZIP 37185
Phone 931 296-1183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type School/Student Health Service
Lab Director MELISSA SNYDER

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