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07/02/2025PRINTED: 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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Form following plan refers to a specific document or framework used in various contexts, such as legal, business, or regulatory settings, to outline procedures or conditions that must be met.
Individuals, organizations, or entities that are subject to specific regulatory, compliance, or legal requirements relevant to the form are typically required to file it.
To fill out the form, one must gather the required information, complete each section accurately, and ensure that all necessary signatures and dates are included before submitting.
The purpose of the form is to ensure compliance with regulatory requirements, facilitate communication, document necessary information, and formalize specific actions or agreements.
The information required may vary but typically includes identifying data about the filer, details relevant to the subject matter of the form, and any specific disclosures or declarations mandated by law.
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