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STATE OF NORTH CAROLINA Mammography Screening Certification Initial/Renewal Application NC GS130A148; 15A NCAA 20D and GS143B165 Complete form to APPLY for or to RENEW Certification for Mammography
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NC DHSR AHCLCS CLIA refers to the North Carolina Division of Health Service Regulation's process for licensing and regulating clinical laboratories under the Clinical Laboratory Improvement Amendments (CLIA).
Any clinical laboratory operating in North Carolina that performs testing on human specimens must file with NC DHSR AHCLCS CLIA.
To fill out the NC DHSR AHCLCS CLIA form, you need to provide identification information for the laboratory, details about the types of tests performed, owner information, and compliance with federal regulations.
The purpose of NC DHSR AHCLCS CLIA is to ensure that clinical laboratories meet quality standards and are able to provide accurate and reliable test results for patient care.
The information that must be reported includes laboratory name, address, ownership details, types of tests performed, and evidence of compliance with CLIA standards.
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