Renewal Application for License for HIV Supportive Living Facility 2026

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  1. Click ‘Get Form’ to open the Renewal Application for License for HIV Supportive Living Facility in our editor.
  2. Begin by entering the Name of the Facility/Agency, Facility License Number, and Location details including Street, City, County, State, Zip, and Phone Number.
  3. Indicate whether your facility has a secured unit by selecting 'Yes' or 'No', and provide the Number of Secured Beds if applicable.
  4. Fill in the Administrator's name and Certification Number. If your mailing address differs from the facility location, provide that information as well.
  5. Complete the Ownership of Building section by providing the owner's name and contact details.
  6. In the Ownership of Business section, check the type of Legal Entity and indicate if it is For Profit or Non-profit. Provide details about individual owners or partners as required.
  7. Answer questions regarding accreditation status and chain affiliation. If applicable, list parent company details.
  8. Finally, verify your application by signing it and providing your title or position along with the date.

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4 Steps for How to Renew Your Phlebotomy License in California Complete continuing education hours. Over 24 months, you are expected to attend six hours of approved CE classes to stay up to date on your skills. Submit your online renewal application. Pay your renewal fee. Download and print your license.
Licensing and Certification District Offices Bakersfield: (866) 222-1903​San Bernardino: (800) 344-2896 Los Angeles: (800) 228-1019 San Jose: (800) 554-0348 Orange County: (800) 228-5234 ​Santa Rosa: (866) 784-0703 Riverside: (888) 354-9203 ​Ventura: (800) 547-8267 ​Sacramento: (800) 554-0354 ​3 more rows Apr 16, 2025
Call Public Health InfoLine at 833-540-0473. 7 days a week, 8:00 a.m. - 8:00 p.m.
Our office utilizes technology to offer a variety of ways for you to contact us for information. Licensing Hotline (800) 967-9331 8:00 a.m. to 4:45 p.m.
Policy Questions. For policy questions relating to facility licensure or certification, please contact the Standards Interpretation Unit via email at StandardsInterpretationUnit@cdph.ca.gov. To better facilitate our response, include your name, the facility type, and any relevant information related to your inquiry.

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Create an Account and Log In (User Manual) To create an account, go to: Create An Account () Take note of your username. Log in using your username and password. Click the Laboratory Facilities icon. Read and accept the Privacy Disclaimer by checking the box.

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