Would your laboratory 2025

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The document is a 2019 Laboratory Improvement Programs Order Form from the College of American Pathologists (CAP). It includes sections for laboratories to provide their contact information, order proficiency testing programs, and specify payment methods. The form also allows laboratories to select testing dates and register proctors for cytology proficiency testing. Additionally, it lists various laboratory programs available for order, along with pricing details.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Institution Name' and 'Name of Laboratory' fields. Ensure that all information is printed clearly.
Provide your CLIA Number and contact details for the Medical Director, including their name, title, email, and phone number.
Complete the Proficiency Testing Ordering Contact section with the relevant contact's details, ensuring accuracy for order inquiries.
Fill in the Proficiency Testing Shipping Address. Remember, this cannot be a PO Box; include department name, street address, city, state/province, postal code, and country.
In the Payment Information section, select your payment method and provide necessary details such as card number or check number.
Finally, review all entries for accuracy before submitting your form via email to cdm@cap.org.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (110 Votes)
2019	4.2 Satisfied (29 Votes)
2018	4.3 Satisfied (55 Votes)
2015	4.2 Satisfied (50 Votes)

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