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PRINTED: 02/13/2023 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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How to fill out clinical laboratory improvement amendments

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How to fill out clinical laboratory improvement amendments

01
Obtain a CLIA certificate from the Centers for Medicare and Medicaid Services (CMS).
02
Ensure compliance with all CLIA regulations and requirements.
03
Perform regular quality control procedures on laboratory equipment and testing processes.
04
Keep detailed records of all laboratory tests performed and results obtained.
05
Participate in proficiency testing programs to assess the accuracy of laboratory testing.
06
Train all laboratory personnel on proper procedures and safety protocols.

Who needs clinical laboratory improvement amendments?

01
Any clinical laboratory that performs testing on human specimens for the purpose of diagnosis, treatment, or prevention of disease.
02
Healthcare facilities such as hospitals, clinics, and physician offices that have an on-site laboratory.
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Clinical Laboratory Improvement Amendments (CLIA) are federal regulatory standards that apply to all clinical laboratory testing performed on humans in the U.S. for the purpose of providing information for diagnosis, prevention, or treatment of disease.
All clinical laboratories in the U.S. are required to comply with CLIA regulations and file the necessary amendments.
To fill out CLIA amendments, laboratories must complete the required forms with accurate information about their testing procedures, quality control measures, and personnel qualifications.
The purpose of CLIA is to ensure quality laboratory testing and accurate results to protect public health.
Information such as testing procedures, quality control measures, proficiency testing results, personnel qualifications, and laboratory director information must be reported on CLIA amendments.
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