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PRINTED: 10/01/2018 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER’D & H FAMILY CARE HOME (X4)
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Obtain the necessary Clia Corner Archive-State form from the relevant authority or website.
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Fill out the form with accurate and up-to-date information about the clinical laboratory.
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Provide information about the type of testing performed, the laboratory director, and other relevant details.
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Ensure all required fields are completed and that the form is signed by the appropriate individual.
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Submit the completed form to the relevant authority or organization for processing.

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Clinical laboratories and testing facilities that are required to comply with Clia regulations.
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Healthcare organizations and providers who rely on the accuracy and reliability of laboratory testing results.
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Regulatory bodies and agencies that oversee and monitor laboratory operations.
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Clia corner archive- state is a system for storing and managing laboratory testing information.
All laboratories that perform clinical testing must file clia corner archive- state.
Clia corner archive- state can be filled out electronically through the designated portal.
The purpose of clia corner archive- state is to ensure accurate and timely reporting of laboratory test results.
Laboratories must report details of all tests conducted, including patient information, test results, and dates.
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