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HealthStaff Training Institute 27645 Jefferson Avenue, Suite 116, Temecula, CA 92590 (951) 6944784 www.healthstafftraining.comSCHOOL PERFORMANCE FACT SHEET CALENDAR YEARS 2017 & 2018 TEMECULA (HYBRID

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Phlebotomy Technician I 100 is a documentation or form used by phlebotomy technicians to report their technical activities, education, and compliance with state regulations.

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Phlebotomy technicians who are certified and working in the state that mandates this filing are required to submit the Phlebotomy Technician I 100 form.

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To fill out the Phlebotomy Technician I 100, the technician needs to provide personal identification information, training credentials, work experience, and any continuing education credits.

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The purpose of the Phlebotomy Technician I 100 is to ensure that phlebotomy technicians maintain their qualifications and comply with state standards for practice.

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The information that must be reported includes personal details, certification status, professional experience, and continuing education completed within the reporting period.

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