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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C22116 Baltimore, Maryland 212441850Center for Clinical Standards and Quality/Survey

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What is admin info 21-01-clia?

Admin info 21-01-clia is a form used to provide administrative information related to Clinical Laboratory Improvement Amendments (CLIA) regulations.

Who is required to file admin info 21-01-clia?

Any laboratory that operates under CLIA regulations is required to file admin info 21-01-clia.

How to fill out admin info 21-01-clia?

Admin info 21-01-clia can be filled out online through the CLIA portal or submitted via mail.

What is the purpose of admin info 21-01-clia?

The purpose of admin info 21-01-clia is to ensure that laboratories are complying with CLIA regulations and to provide necessary administrative information.

What information must be reported on admin info 21-01-clia?

The form typically requires information such as laboratory contact details, CLIA certification number, types of tests performed, and personnel information.

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