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State of Illinois CIA Laboratory Certification Program Phone: 217-782-6747 DISCLOSURE OR CHANGE OF OWNERSHIP CIA Certificate Number (typically begins with 14D) Select Disclosure or Change(s): Disclosure
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How to fill out state of Illinois CLIA:

01
First, gather all necessary documents and information. This may include your personal identification, laboratory director information, laboratory testing menu, and any other required documentation.
02
Complete the CLIA application form accurately and legibly. Ensure that all information is up to date and corresponds to the laboratory's information.
03
Pay the necessary application fees, which can vary depending on the type of laboratory and services provided.
04
Submit the completed application form along with any required supporting documents and fees to the Illinois Department of Public Health.
05
Await the review and processing of your application by the Illinois Department of Public Health. This can take several weeks to complete.
06
If approved, you will receive a CLIA certificate from the Illinois Department of Public Health. Make sure to prominently display this certificate in your laboratory.
07
Regularly review and update your CLIA certificate as needed to ensure compliance with regulations and to maintain an active status.

Who needs state of Illinois CLIA:

01
Laboratories performing clinical tests on specimens derived from humans for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or the assessment of human health need the state of Illinois CLIA.
02
This includes various types of laboratories such as clinical, diagnostic, research, and reference laboratories.
03
Physicians, healthcare facilities, and healthcare providers who perform laboratory tests on their patients also need to obtain the state of Illinois CLIA to ensure accurate and reliable results.
04
The CLIA certification is required to comply with federal and state regulations and to ensure the quality and validity of laboratory testing in the state of Illinois.
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The Clinical Laboratory Improvement Amendments (CLIA) in the state of Illinois regulate laboratory testing.
All laboratories performing testing on human specimens in Illinois are required to file for CLIA certification.
To fill out the state of Illinois CLIA application, laboratories need to submit the necessary forms and documentation through the CLIA website or mail.
The purpose of the state of Illinois CLIA is to ensure the accuracy and reliability of laboratory testing for patient care.
Laboratories need to report information such as test methods, quality control procedures, and personnel qualifications on the state of Illinois CLIA application.
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Illinois CLIA CMS-116 IDPH Proprietorship laboratorys Unincorporated 14D thereunder promulgated eligibility applicable retains Certification amended indirect herein Associations applicant violates fined specify furnish compliance DISCLOSURE pertinent subs

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