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- Click ‘Get Form’ to open the cms 116 form 2015 in the editor.
- Begin by filling out Section I: General Information. Enter your facility name, federal tax identification number, and contact details including email and telephone number.
- In Section II, select the type of certificate requested based on your laboratory's testing capabilities. 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.
- For Section IV, indicate the hours of operation for laboratory testing using HH:MM format. If applicable, check the box for 24/7 operation.
- Complete Sections VI to VIII by detailing the types of tests performed and their estimated annual volumes. Be specific about waived and non-waived tests.
- Finally, review all sections for accuracy before signing at the end of the form. Submit it as instructed once completed.
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