Cms 116 form 2015-2026

1. Click ‘Get Form’ to open the cms 116 form 2015 in the editor.
2. Begin by filling out Section I: General Information. Enter your facility name, federal tax identification number, and contact details including email and telephone number.
3. In Section II, select the type of certificate requested based on your laboratory's testing capabilities. Ensure you check only one option.
4. Proceed to Section III to specify the type of laboratory. Choose the option that best describes your facility from the provided list.
5. For Section IV, indicate the hours of operation for laboratory testing using HH:MM format. If applicable, check the box for 24/7 operation.
6. 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.
7. Finally, review all sections for accuracy before signing at the end of the form. Submit it as instructed once completed.

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