WebCLIA Program) (Once your payment has been posted, your new certificate will be mailed approximately 30 days prior to your current certificate’s expiration date) Reactivate a terminated CLIA certificate . Please contact our office . Change our physical or mailing address . Name-Address-Director Change Form . No Change the name of our facility ... WebFacilities are required to notify our office of any changes to your CLIA certification within 30 days of the change. To change the address, mailing address, phone or fax,email, facility name and/or tax ID

CLIA 101: Answers to your most common questions about CLIA …

WebClia Certificate Type Change Form is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois. Form … WebApplication packets are mailed upon request. Requests may be made by phone at (803)545-4205 or by fax at (803) 545-4563. Applications (CMS Form-116) are also available on the CLIA Web site. (Note: The application packet requested from SC DHEC CLIA PROGRAM contains required documents that cannot be obtained from the CLIA Web site.) sift magazine back issues

Provider-Performed Microscopy (PPM) Procedures CDC

WebInstructions Updated: 4/2024 Purpose Form 3225 is used as a supplement to the Centers for Medicare & Medicaid Services (CMS) Form CMS-116 (PDF) to apply for a Clinical Laboratory Improvement Amendments of 1988 (CLIA) program certificate. Contact Health Facility Compliance at [email protected] with any questions. WebThis form is for Medical Test Sites to notify the department of changes in address, facility name, or laboratory contacts. Keywords: Medical Test Site; MTS: address change; laboratory contact; facility name; change; license; CLIA; email address; phone number; fax number; date of change Created Date: 11/7/2024 12:04:15 PM http://pehsc.org/wp-content/uploads/2014/05/CLIA-Waiver-FAQ.pdf siftly job search