Licensing renewal: Fill out & sign online

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Send california laboratory field services license renewal via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open the lab 101 form in the editor.
Begin by entering your personal information in the designated fields, including your name, daytime and home telephone numbers, and email address if available.
Indicate whether there has been a change of name or address since your last renewal by selecting 'Yes' or 'No'.
Answer the question regarding any felony or misdemeanor convictions. If applicable, provide an explanation on a supplementary sheet.
In Section 1, list all required information for courses completed since your last renewal. Include the date of issue, California AA number, program title, accrediting agency name, course number, and CE units earned.
For Section 2, document any accredited college or university courses relevant to clinical laboratory science completed since the last renewal period.
Finally, sign and date the form to certify that all information is accurate before submitting it as instructed.

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