CLIA lab
CLIA 44D2216110: Change Academy at Lake of the Ozarks, LLC
Benton, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D2216110 belongs to Change Academy at Lake of the Ozarks, LLC in Benton, TN.
Certificate of Waiver, effective March 9, 2025, expires March 8, 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
- March 9, 2025
- Certificate expiration
- March 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 9, 2021
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D2216110
- Lab name
- Change Academy at Lake of the Ozarks, LLC
- Additional name
- DBA Embark Behavioral Health
- Address
- 5842 Highway 30, Benton, TN 37307
- Phone
- (423) 405-6345
- Fax
- (423) 405-6345
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Benton, TN
- Benton Elementary SchoolCertificate of Waiver, School or student health service44D2175271
- Benton Family Health Care CenterCertificate of Compliance, Federally qualified health center44D0309266
- Drug Store, theCertificate of Waiver, Pharmacy44D2173437
- Preferred PharmacyCertificate of Waiver, Pharmacy44D2130294
- TK Health Polk County JailCertificate of Waiver, Prison44D2162957
Related
Questions
What is the CLIA number for Change Academy at Lake of the Ozarks, LLC in Benton?
44D2216110, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Change Academy at Lake of the Ozarks, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D2216110 expire?
The CMS file lists March 8, 2027 as the certificate expiration date; the certificate took effect March 9, 2025.