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PRINTED: 10/30/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:A. BUILDING: ___ B. WING ___mhl043039

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How to fill out clia program

01

Determine the type of CLIA certificate needed (waived, moderate, or high complexity)

02

Complete the application form CMS-116

03

Provide proof of accreditation from a CLIA-approved organization

04

Pay the required fees

05

Submit the application to the appropriate CLIA state agency

Who needs clia program?

01

Clinical laboratories that perform testing on human specimens for diagnosis, prevention, or treatment purposes

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What is clia program?

CLIA program stands for Clinical Laboratory Improvement Amendments program. It regulates laboratory testing and ensures the quality and accuracy of results.

Who is required to file clia program?

All clinical laboratories that perform testing on human specimens for the purpose of diagnosis, prevention, or treatment must comply with CLIA regulations.

How to fill out clia program?

Clinical laboratories can fill out the CLIA application form online through the CMS website or submit a paper application by mail.

What is the purpose of clia program?

The purpose of the CLIA program is to ensure that all laboratory testing is performed accurately, reliably, and timely.

What information must be reported on clia program?

Laboratories must report information about their testing procedures, personnel qualifications, quality control measures, and proficiency testing results.

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