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PRINTED: 02/22/2023 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CARDINAL CARE OF HOPE MILLS
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How to fill out facility clia number

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How to fill out facility clia number

01
Locate the CLIA Application Form on the CMS website.
02
Fill out all required fields, including facility name, address, contact information, and type of facility.
03
Provide information about the laboratory director, testing personnel, and any certifications or accreditations.
04
Submit the completed form to the appropriate CMS Regional Office for processing.
05
Await approval and receipt of your facility CLIA number.

Who needs facility clia number?

01
Any facility that conducts laboratory testing on human specimens for the purpose of diagnosis, prevention, or treatment of diseases.
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Facility clia number is a unique identification number assigned to clinical laboratories in the United States.
All clinical laboratories in the United States are required to file for a facility clia number.
Facility clia number can be filled out by submitting an application to the Centers for Medicare & Medicaid Services (CMS) or through the CMS CLIA online application.
The purpose of facility clia number is to ensure that clinical laboratories comply with federal regulations and maintain quality standards for testing.
The information reported on facility clia number includes laboratory name, location, director's name, and types of testing performed.
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