Get the free CLIA State Agency Contacts - Updated 10.10.2024

PRINTED: 09/23/2024 FORM APPROVED Indiana State Department of HealthSTATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONS(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: 240111861(X2) MULTIPLE CONSTRUCTION(X3)

How to fill out clia state agency contacts

How to fill out clia state agency contacts

1. Obtain the CLIA application form from the state agency website.
2. Review the agency's requirements for completing the form.
3. Gather necessary information such as laboratory name, address, and ownership details.
4. Include the type of laboratory services provided.
5. Provide contact information for the laboratory personnel.
6. Fill out the certification and licensing sections as per the requirements.
7. Check for any additional documentation required, such as proof of accreditation or inspection.
8. Submit the completed form to the designated state agency contact.

Who needs clia state agency contacts?

1. Laboratories seeking CLIA certification.
2. Healthcare organizations that perform laboratory testing.
3. Clinical professionals involved in laboratory services.
4. State health departments and regulatory bodies.
5. Accrediting organizations assessing laboratory compliance.

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What is clia state agency contacts?

CLIA state agency contacts refer to the designated state-level agencies that oversee the compliance and regulation of laboratories under the Clinical Laboratory Improvement Amendments (CLIA), ensuring they meet federal health and safety standards.

Who is required to file clia state agency contacts?

Laboratories that are subject to CLIA regulations, including clinical laboratories, must file CLIA state agency contacts to ensure they are registered and compliant with state and federal laws.

How to fill out clia state agency contacts?

To fill out CLIA state agency contacts, laboratories typically need to complete a specific form provided by the state agency that includes details about the laboratory, such as ownership information, locations, and type of services offered.

What is the purpose of clia state agency contacts?

The purpose of CLIA state agency contacts is to establish communication between laboratories and regulatory bodies, ensuring compliance with health regulations and facilitating the monitoring of laboratory operations.

What information must be reported on clia state agency contacts?

Information that must be reported includes the laboratory's name, address, type of laboratory services, owner information, and any relevant certifications or licenses held by the laboratory.