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01. Edit your clia laboratory user fees online
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How to use or fill out clia laboratory user fees with our platform
- Click ‘Get Form’ to open the CLIA Laboratory User Fees document in the editor.
- Locate the 'CLIA ID Number' field at the top of the form. Enter your laboratory's unique CLIA ID number accurately.
- In the 'Fees for Certificate of' section, specify the type of certificate you are applying for or renewing.
- Fill in the 'Payment Due Date' and 'Total Payment Due' fields with the relevant information from your billing statement.
- Review the 'CURRENT CHARGES' section. Ensure that all amounts listed are correct and match your records.
- If changes are needed, complete the reverse side of this form as instructed and ensure it is sent to the appropriate state agency.
- Finally, make sure to include any necessary payment details and mail them to the specified address, ensuring you do not send payments to the state agency.
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