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Rep Name: ___FACILITY SETUP FORM Type of testing: (mark all that apply and note weekly volume online) UTI: ___ Respiratory: ___ COVID-19: ___ Castro: ___ Blood: ___ Wound: ___ Nail Fungus: ___ Toxicology:
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Any individual or organization requesting to set up a new facility or make changes to an existing facility may need to fill out facility set up form112221.
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Facility set up form112221 is a document used to report information about setting up a new facility or making changes to an existing facility.
Any entity or individual who is setting up a new facility or making changes to an existing facility is required to file facility set up form112221.
Facility set up form112221 can be filled out by providing all the necessary information about the facility being set up or modified, following the instructions on the form.
The purpose of facility set up form112221 is to ensure that all necessary information about new or modified facilities is properly recorded and reported.
Information such as the type of facility, location, ownership details, purpose of the facility, and any changes being made must be reported on facility set up form112221.
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