florida laboratory license renewal application form

The Department of Health - Center for Health Development- Cordillera Administrative region values your privacy and the security of your personal information. APPLICATION FOR A CLIA CERTIFICATE: FORM CMS-116. Accomplished Health Facility Self-Assessment Tool 6.

This is for your reference and should not be submitted with your application forms. Refer to California Business and Professions Code, Division 2, Chapter 3. Select '2' for address to send directly to the CLEP.

BC 02s.2010 Proficiency Testing for DTL and Water Lab.

Application Form for Medical X-ray Facility (if applicable) 4. Test menu change form (PDF) Renewal Forms. Credential status change form (PDF) Ownership change: Complete a new MTS application Read the requirements carefully and determine which application category is correct. Quality audit report of the BHDT health physics team on the medical 15) Pursuant to Administrative Order No. Every two years thereafter the director will be billed by CMS and receive a renewal packet from the state of Maryland.

The unit serves as the agent for federal certification in the Clinical Laboratory Improvement Amendments of 1988 (CLIA) Program, which is required for all clinical laboratory testing sites including those seeking Medicare reimbursement.

Florida laboratory license renewal application form