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PRINTED: 12/12/2023 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Form Facility Except For is a specific form used by organizations or individuals to report certain exemptions or excluded facilities in accordance with regulatory requirements.
Organizations and individuals that operate facilities or engage in activities that fall under the specified exemptions are required to file Form Facility Except For.
To fill out Form Facility Except For, gather necessary information regarding the facility, complete the sections as outlined in the form's instructions, and ensure accuracy before submission.
The purpose of Form Facility Except For is to document facilities that are exempt from certain regulatory requirements, ensuring compliance while accounting for exclusions.
Information that must be reported includes facility details, exemption categories, and any relevant compliance data as specified in the form's guidelines.
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