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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICESForm Approved OMB No. 09380581CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CIA) APPLICATION FOR CERTIFICATION I. GENERAL

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A clinical laboratory is a facility that conducts tests on clinical specimens to obtain information about the health of a patient for diagnosis, treatment, and prevention of disease.

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The report must include details such as laboratory identification, list of tests performed, accreditation status, quality control measures, and compliance with health regulations.

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