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Complaint Intake Form CIA State Agency Oregon Health Authority Laboratory Compliance Section 7202 NE Evergreen Parkway Suite 100 Hillsboro, OR 97124Ph 5036934125 Fax: 5036935602 Email: lc.info@odhsoha.oregon.gov

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How to fill out complaint intake form clia

01

Obtain a copy of the complaint intake form CLIA.

02

Fill out all required information such as name, contact information, date of incident, and a description of the complaint.

03

Provide any supporting documentation or evidence related to the complaint.

04

Submit the completed form to the appropriate organization or individual in charge of handling complaints.

Who needs complaint intake form clia?

01

Any individual who wishes to file a complaint regarding a CLIA-certified laboratory or related services.

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What is complaint intake form clia?

The complaint intake form clia is a form used to report complaints related to Clinical Laboratory Improvement Amendments (clia) regulations.

Who is required to file complaint intake form clia?

Any individual or organization that has a complaint regarding clia regulations is required to file the complaint intake form.

How to fill out complaint intake form clia?

The complaint intake form clia can be filled out online or submitted in person to the appropriate regulatory agency.

What is the purpose of complaint intake form clia?

The purpose of the complaint intake form clia is to document and investigate complaints related to clia regulations to ensure compliance.

What information must be reported on complaint intake form clia?

The complaint intake form clia requires information such as the nature of the complaint, specific regulations being violated, and any supporting documentation.

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