Doh 408 1ms 2026

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  1. Click ‘Get Form’ to open the doh 408 1ms in the editor.
  2. Begin by filling out the CLIA Status and Application Type section. If your laboratory has a CLIA number, enter it. Select the type of registration you are applying for: Single-Site or Multi-Site.
  3. In the General Information section, provide details about your laboratory including its name, address, and contact information. Ensure all fields are completed accurately.
  4. Proceed to the Laboratory Type section and select the appropriate category that best describes your laboratory from the provided list.
  5. Complete the Ownership Information section by listing the owner’s details and indicating whether it is a small business.
  6. Fill out any affiliations or management contracts in their respective sections, providing necessary names and addresses.
  7. For Laboratory Directorship, enter the director's information and check if they hold a NYS Laboratory Director Certificate of Qualification.
  8. Indicate any waived test procedures you plan to perform by checking off relevant tests and estimating annual volumes.
  9. Finally, review all sections for accuracy before signing and dating at the bottom of the form to certify your application.

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