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Feb 9, 2015 ... Certification Dates to. Cert # ...... 10595 N TATUM BLVD STE E-142 .... 02/10/ 2016 ...... 03D2045161 COPPER CREEK INN MEMORY CARE.
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How to fill out clia facilities - azdhs?

01
Determine the purpose: Before filling out the clia facilities - azdhs form, it is essential to understand the purpose of the form. The clia facilities - azdhs form is used by medical facilities and laboratories to apply for certification under the Clinical Laboratory Improvement Amendments (CLIA) program.
02
Obtain the form: Visit the official website of the Arizona Department of Health Services (azdhs) to download the clia facilities form. You can also contact the azdhs directly to request a physical copy of the form.
03
Complete the applicant information: Begin by filling in the required applicant information. This typically includes the name of the facility or laboratory, its address, contact details, and the individual responsible for overseeing the facility's CLIA compliance.
04
Provide facility details: Next, provide specific details about the facility, such as its type (e.g., hospital, clinic, research laboratory), ownership status (e.g., private, government), and the services it offers.
05
Describe testing methodologies: Provide a description of the laboratory testing methodologies that are utilized by the facility. This includes details about the type of tests performed, equipment used, and proficiency testing programs implemented.
06
Attach supporting documents: Ensure that any necessary supporting documents are included with the application. These may include copies of laboratory certifications, accreditation documentation, or quality control procedures.
07
Pay the required fees: Check the official azdhs website for the current fee structure related to the clia facilities application. Make sure to submit the appropriate payment along with the completed form.
08
Submit the application: Once the form is completed, double-check all the provided information for accuracy. Then, send the application and supporting documents to the designated address as indicated on the form.

Who needs clia facilities - azdhs?

01
Medical facilities: Any medical facility operating in the state of Arizona that conducts laboratory testing, including hospitals, clinics, physician offices, and nursing homes, may require clia facilities certification from the azdhs.
02
Research laboratories: Research laboratories involved in medical studies or clinical trials may also need to obtain clia facilities certification if their testing procedures fall under CLIA regulations.
03
Independent laboratories: Independent laboratories that offer specialized diagnostic services, such as genetics, pathology, or toxicology, may need clia facilities certification to comply with state and federal regulations.
Overall, any facility or laboratory that performs laboratory testing and wishes to ensure compliance with CLIA standards should consider applying for clia facilities - azdhs certification. It is important to consult the official documentation and reach out to the azdhs for specific guidelines and requirements applicable to your situation.
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CLIA (Clinical Laboratory Improvement Amendments) facilities are laboratories that perform testing on human specimens for the purpose of diagnosis, prevention, or treatment of disease, and are regulated by the Arizona Department of Health Services (AZDHS).
Any laboratory in Arizona that performs testing on human specimens for clinical purposes must file with the AZDHS to be considered a CLIA facility.
To fill out the CLIA facilities application with the AZDHS, laboratories must provide detailed information about the tests they perform, their personnel qualifications, quality control procedures, and compliance with CLIA regulations.
The purpose of CLIA facilities regulated by the AZDHS is to ensure that laboratories meet specific standards for quality, accuracy, and reliability in testing of human specimens to protect public health.
Information reported on CLIA facilities applications to the AZDHS includes test menu, staffing qualifications, quality control processes, laboratory policies and procedures, and compliance with CLIA regulations.
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