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The document outlines the CLIA State Agency Performance Review (SAPR) process for fiscal year 2003, detailing its purpose, structure, and implementation guidelines. It serves as an evaluation tool for State agencies' performance in survey and certification responsibilities under the CLIA program. The SAPR aims to promote optimal performance by recognizing strengths and identifying areas for improvement through a comprehensive review of various criteria. The document emphasizes the importance of preparatory activities during FY 2003 to ensure readiness for the first official review in FY 2004, encouraging feedback from State agencies and regional offices to refine the process.

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