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09/21/2022PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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The complaint in00388316 is a formal grievance that has been found to be valid or supported by evidence.
Individuals or entities who have been affected by the issue relevant to complaint in00388316 are required to file it.
To fill out the complaint, provide accurate and detailed information about the issue, including relevant dates, individuals involved, and any supporting documentation.
The purpose of the complaint is to formally address and rectify an issue that has been validated, ensuring accountability and resolution.
The complaint must include details such as the nature of the grievance, involved parties, dates, evidence supporting the claim, and any relevant correspondence.
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