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PRINTED: 07/22/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:THE MANOR AT EDGEWATER (X4)
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MM12841 - new waived is a form used for reporting waived testing results.
Healthcare facilities and laboratories performing waived testing are required to file MM12841 - new waived.
MM12841 - new waived can be filled out electronically or manually. It requires information on the waived tests performed, results, and quality control measures.
The purpose of MM12841 - new waived is to ensure accurate reporting of waived testing results for monitoring public health and safety.
Information such as the name of the test, test results, date and time of testing, and any quality control measures taken must be reported on MM12841 - new waived.
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