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Send clia certificate of compliance via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out CLIA with our platform
- Click ‘Get Form’ to open the CLIA application in the editor.
- Begin by filling out Section I: General Information. Provide your facility name, anticipated start date, and contact details including email and phone number.
- In Section II, select the type of certificate you are applying for based on the complexity of tests performed. Ensure you check only one option.
- Proceed to Section III to specify the type of laboratory. Choose the option that best describes your facility from the provided list.
- Complete Section IV by indicating your laboratory's hours of operation in HH:MM format. If testing is available 24/7, check the appropriate box.
- If applicable, fill out Section V regarding multiple sites. Indicate if you are applying for a single site certificate covering multiple locations.
- Continue with Sections VI to VIII to detail any waived, PPM, or non-waived testing performed at your facility. Be specific about test names and estimated annual volumes.
- Finally, review all sections for completeness before submitting your application to ensure it meets all requirements outlined in the instructions.
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