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02/14/2024PRINTED: 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 in00425189 - federalstate refers to a formal notification or allegation made to a governmental body, indicating a violation of federal or state regulations or laws.

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Individuals or entities affected by the alleged violation, such as citizens, organizations, or compliance officers, are required to file the complaint in00425189 - federalstate.

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To fill out the complaint in00425189 - federalstate, you need to provide basic information about yourself and the individual or entity you are complaining against, detailed descriptions of the issue, relevant dates, and any supporting evidence.

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The purpose of the complaint in00425189 - federalstate is to initiate an investigation into the alleged violation of laws or regulations and to seek resolution or enforcement action by the appropriate authorities.

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The complaint in00425189 - federalstate must include the complainant's contact information, a description of the complaint, names of involved parties, dates of incidents, and any evidence or documentation related to the complaint.

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