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DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT I. Identifying Information Name of Entity/B/AC LIA No. Street AddressEINTelephone No. and Fax No. City, County, State CODEVI. Answer the following

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What is clia no?

CLIA number is a unique identification number assigned to clinical laboratories that perform testing on human specimens for the purpose of diagnosis, prevention, or treatment of disease.

Who is required to file clia no?

Clinical laboratories that perform testing on human specimens for the purpose of diagnosis, prevention, or treatment of disease are required to file for a CLIA number.

How to fill out clia no?

You can fill out a CLIA application form online or by mail with the required information about your clinical laboratory.

What is the purpose of clia no?

The purpose of CLIA number is to ensure that clinical laboratories meet quality standards and provide accurate and reliable test results.

What information must be reported on clia no?

The CLIA application requires information such as laboratory location, types of tests performed, personnel qualifications, quality control procedures, and proficiency testing.

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