Lab 144a 2026

1. Click ‘Get Form’ to open the lab 144a application in the editor.
2. Begin by selecting your registration option: either for state oversight or deemed status. If you choose deemed status, ensure you upload your current accreditation certificate.
3. Fill in the laboratory details including the name, tax ID number, address, city, county, state, zip code, telephone and fax numbers, and email address.
4. Provide your CLIA provider number and indicate the number of testing sites associated with this CLIA number.
5. Select the type of ownership by checking the appropriate box and provide necessary details about owners or partners as required.
6. List all laboratory directors along with their addresses and hours on site. Ensure that all information is accurate.
7. Finally, sign the declaration statement at the bottom of the form by both the laboratory director and owner to confirm accuracy.

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