WebFeb 10, 2024 · CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) STATE AGENCY CONTACTS February 10, 2024 . ALABAMA . ALABAMA DEPARTMENT OF PUBLIC HEALTH Division of Health Care Facilities CLIA Program P.O. Box 303017 Montgomery, AL 36130-3017 (334) 206-5120 FAX: (334) 206-5254 . Email: … WebCMS-116 CLIA Application for Certification. Instructions for completing the CLIA application begin on page 6. Completed CMS-116 CLIA applications or changes to existing information on a CLIA certificate may be faxed to 303-328-2934 or emailed to [email protected] For questions or assistance, please call 303-692-3099.
Clinical Laboratory Improvement Amendments (CLIA) CMS
WebDec 15, 2024 · Registration is for waived and PPMP laboratory testing only. ... Remember to refer to your State ID and/or CLIA ID when contacting us. Clinical Laboratory Registration (Waived or PPMP testing) ... Instructions for submitting a change of address, director, owner, and other information changes. WebMar 31, 2016 · View Full Report Card. Fawn Creek Township is located in Kansas with a population of 1,618. Fawn Creek Township is in Montgomery County. Living in Fawn … fish markets in chesterfield va
Clinical Laboratory Services - Michigan
WebWaived laboratories may request changes (i.e. change of director, address, hours of operation) to the CLIA certification by notification on letterhead Submit CLIA Application for Certification (CMS-116) Submit CLIA Application for Certification (CMS-116); LAB 155 (PDF) — Application for Clinical Laboratory Registration WebEMAIL ADDRESS NAME OF DIRECTOR DEPARTMENT OF HEALTH AND HUMAN SERVICES Form Approved CENTERS FOR MEDICARE & MEDICAID SERVICES OMB No. 0938-0581 . CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) APPLICATION FOR CERTIFICATION . I. GENERAL INFORMATION. Initial Application … WebOct 1, 2024 · Waived laboratories may request changes (i.e. change of director, address, hours of operation) to the CLIA certification by notification on letterhead. PPM, compliance and accredited laboratories should submit changes on the form CMS 116, signed by the laboratory director and submit to the state agency. can cottage be frozen