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PRINTED: 08/27/2020 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 amendment

01
Determine if your clinical laboratory is subject to CLIA regulations based on the type of testing performed.
02
Obtain a CLIA certificate by completing an application form and paying the required fee.
03
Adhere to CLIA regulations by implementing quality control measures, performing proficiency testing, and maintaining accurate records.
04
Undergo regular inspections by CLIA surveyors to ensure compliance with regulations.
05
Stay updated on any changes or updates to CLIA regulations to maintain compliance.

Who needs clinical laboratory improvement amendment?

01
Clinical laboratories that perform testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease.
02
Healthcare providers who rely on laboratory test results for patient care.
03
Regulatory agencies who oversee healthcare facilities and laboratories to ensure quality and accuracy of test results.
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CLIA is a set of regulatory standards that apply to all clinical laboratory testing performed on humans in the United States, with the aim of ensuring quality laboratory testing.
Any facility or person that performs clinical laboratory testing on humans is required to comply with CLIA regulations.
The CLIA application form must be completed online through the CMS website by providing specific information about the laboratory, its testing capabilities, and quality control procedures.
The main purpose of CLIA is to ensure the accuracy, reliability, and timeliness of patient test results by establishing quality control standards for laboratory testing.
The CLIA application requires information about the laboratory director, technical consultant, testing personnel, test methods, quality control procedures, and proficiency testing participation.
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