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CLINICAL LABORATORY
ENROLLMENT FORM
Performing Laboratory
CD Laboratories
CIA License# 21D0216863Fax completed form to (443) 2792935 or email to
CustomerService×CDLaboratories.com
ACCOUNT INFORMATION
Institution
Address
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What is lab services forms?
Lab services forms are documents used to report information related to laboratory services provided.
Who is required to file lab services forms?
Healthcare providers and laboratories that provide laboratory services are required to file lab services forms.
How to fill out lab services forms?
Lab services forms can be filled out by entering the required information, such as patient demographics, test codes, and results, in the designated fields on the form.
What is the purpose of lab services forms?
The purpose of lab services forms is to accurately report information related to laboratory services for billing and regulatory compliance purposes.
What information must be reported on lab services forms?
Information that must be reported on lab services forms includes patient demographics, test codes, test results, and date of service.
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