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MYCOLOGY (FUNGUS) N.C. Department of Health and Human Services State Laboratory of Public Health 4312 District Drive P.O. Box 28047 Raleigh, NC 276118047 Please Give All Information Requested Last
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How to fill out nc dph state labcontact
01
Begin by gathering all necessary information such as contact details, patient information, and lab test details.
02
Access the NC DPH State Labcontact form either online or in a physical copy.
03
Start by filling out the contact details section, which includes your name, organization, title, phone number, and email address.
04
Move on to the patient information section and provide all required details such as their name, date of birth, gender, and contact information.
05
Proceed to the lab test details section and input the specific test being requested, along with any additional information or notes.
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Double-check all the information you entered to ensure accuracy.
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Sign and date the form, confirming that all information provided is true and accurate.
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Submit the completed NC DPH State Labcontact form through the designated channel, whether it be online submission or physical mailing.
Who needs nc dph state labcontact?
01
Organizations or individuals who need to contact the NC DPH State Lab for any laboratory-related matters.
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What is nc dph state labcontact?
The nc dph state labcontact refers to the contact information for the North Carolina Department of Public Health state laboratory.
Who is required to file nc dph state labcontact?
Healthcare facilities and providers are required to file nc dph state labcontact.
How to fill out nc dph state labcontact?
To fill out nc dph state labcontact, healthcare facilities and providers must provide their contact information and any relevant details related to laboratory testing.
What is the purpose of nc dph state labcontact?
The purpose of nc dph state labcontact is to ensure that the state laboratory can be contacted for any laboratory testing needs or inquiries.
What information must be reported on nc dph state labcontact?
The information that must be reported on nc dph state labcontact includes the name of the healthcare facility or provider, contact person, phone number, and email address.
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