Homepage Maryland State Compliance Application PDF Template
Outline

In the healthcare sector, the integrity and quality of laboratory services are paramount, ensuring accurate and reliable test results that are critical for patient care. In Maryland, the process of maintaining the high standards expected of laboratories is overseen by the Maryland Department of Health and Mental Hygiene's Office of Health Care Quality, which necessitates the completion of the Maryland State Compliance Application form. This comprehensive form is a stepping stone for laboratories in diverse settings, including physician offices, independent references, hospital laboratories, and more, to demonstrate their adherence to state regulations. It is meticulously designed to gather detailed information about the laboratory, including types of tests performed, director credentials, and ownership details, among others. Also, this form indicates the necessity of a review for completeness and compliance before the issuance of a license, further underlining the state's commitment to quality health care services. Importantly, the form alerts applicants to submit no fees until advised, following a thorough review process, to pave the way for transparent financial transactions. Completing this application accurately is crucial, as any inconsistencies or omissions may delay the licensing process, affecting the laboratory's operational capabilities. Additionally, the inclusion of a checklist emphasizes the importance of submitting all required documentation to streamline the approval process. This introductory piece to the application form highlights its role as a critical document that ensures laboratories operate within a framework that safeguards patient health and upholds the highest standards of laboratory practice.

Maryland State Compliance Application Sample

Maryland Department of Health and Mental Hygiene

Office of Health Care Quality Laboratory Licensing Programs

Spring Grove Center Bland Bryant Building

55 Wade Avenue, Catonsville, MD 21228

Phone: 410.402.8025 Fax: 410.402.8213

Instructions for Completion of State Compliance Application

***Changes to your current State laboratory license must be submitted on the Laboratory Licensing Change Form. The form can be downloaded on our website at www.dhmh.state.md.us/ohcq ***

It is important that you fill out this application completely, including signatures where required. If the application is incomplete it will delay the licensing process.

Please submit no money at this time. Once your application is reviewed for completeness and compliance with the applicable regulations, you will be issued an invoice for the application fee as well as other fees as outlined in COMAR 10.10.04.02.

Please allow 6-8 weeks for permit processing and invoicing.

Once your payment is received, the appropriate license will be issued.

Please review page six of this application, to verify you have the correct supportive documentation.

If you have any questions, please call the Laboratory Licensing Division at (410) 402-8025.

***Important***

***Before submitting your application, please review the

checklist on the last page.***

2

Maryland Department of Health and Mental Hygiene

Office of Health Care Quality Laboratory Licensing Programs

Spring Grove Center Bland Bryant Building

55 Wade Avenue, Catonsville, MD 21228

Phone: 410.402.8025 Fax: 410.402.8213

 

 

Date/Amount Paid

Office use only

 

State of Maryland

 

 

 

 

 

Invoice #

Office use only

 

Department of Health and Mental Hygiene

 

 

 

 

 

 

Laboratory Licensing Programs

 

 

 

 

Check #

Office use only

 

Office of Health Care Quality

 

 

 

 

 

 

State Permit #

Applicant, if known please enter

 

 

 

 

 

 

CLIA #

Applicant, if known please enter

 

 

 

 

 

State Compliance Application

Initial Application

Reinstatement

I. Laboratory Information

Type of Laboratory

Physician Office

Point of Care

Independent/Reference

Hospital

Laboratory Practice/ Entity Name

Contact Person Name/Phone Number

Address, City, State and Zip Code

Email Address

Fax

 

 

 

Mailing address if different from above

 

 

II. Director Information

Director Name

Degree

Full Time

Part Time (hours/week)

 

 

 

 

Certification by American Specialty Board (Name, Date, Number)

 

State Medical License Number

 

 

 

 

III. Laboratory Supervisor/Consulting Supervisor/Manager Information

 

 

 

 

Name

Degree

Full Time

Part Time (hours/week)

 

 

 

 

Certification by American Specialty Board (Name, Date, Number)

3

IV. Schedule A – General Permit

*** If you are only performing tests on Excepted list, Schedule B, do not use this section***

Chemistry

Genetics

Forensic Toxicology

Microbiology

Health Awareness

Routine

Routine

Toxicology: Job Related

Bacteriology

Cholesterol/HDL

Blood Gas

Molecular

 

Parasitology

Other Excepted Tests *

 

 

 

 

Endocrinology

Cytogenetics

 

Mycology

 

 

 

 

 

Toxicology: Drugs of Abuse

 

 

Mycobacteriology

* Excepted tests under

 

 

 

Health Awareness require

Toxicology: Therapeutic

 

 

Virology

 

 

 

a General Permit.

Toxicology: Heavy Metals

 

 

 

 

 

 

 

Radioimmunoassay

 

 

 

 

 

 

 

 

 

Immunohematology

Hematology

Molecular Biology

Pathology

Immunology

ABO/Rh/Non Trans-

Routine

Nucleic Acid Probes

Histopathology

General Immunology

fusion/Transplant

Coagulation

PCR Amplifications

Dermatopathology

Syphilis Serology

ABO/Rh

 

Recombinant Nucleic Acid

Oral Pathology

Histocompatability

Antibody Detection

 

Techniques

Cytology–GYN

 

Antibody Identification

 

 

Cytology–Non- GYN

 

Compatibility Testing

 

 

 

 

 

 

 

 

V. Schedule B – Excepted Tests *

 

*Note: Not all tests excepted by Maryland regulations are waived by CLIA. You can check the test categories for CLIA at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfclia/search.cfm

Chemistry

 

Hematology

 

 

BNP

 

Fern Test

 

 

Dipstick Glucose

 

Hematocrit

 

 

Dipstick Urinalysis

 

Hemoglobin

 

 

Dipstick Microalbumin & creatinine, urine

 

Nitrazine Test

 

 

Fructosamine (whole blood)

 

Semen analysis, qualitative

 

 

Glucose (FDA Home Device)

 

Sickle Cell Testing

 

 

Hemoglobin A1c (Glycohemoglobin)

 

CLIA Waived PT/INR

 

 

Microscopic Urinalysis

 

 

 

 

Urine or saliva drug or alcohol for approved counselors

 

 

 

CLIA Waived blood lipids for cholesterol, HDL, LDL,

and

 

 

 

Triglycerides

 

 

 

 

 

 

 

 

 

Immunology

 

Microbiology

 

 

Bladder marker, H-related protein, qualitative

 

Dermatophyte Screen

Trichomonas vaginalis antigen

 

H.Pylori (whole blood)

 

Fecal Fat

Bacterial Sialidase

 

Heterophyle AG (whole blood)

 

Gram Stain

Adenovirus antigen eye fluid

 

Mono Slide Test

 

Group A Strep Screen (non-culture)

 

NMP Bladder Marker, qualitative

 

Influenza Antigen (nasal or throat swab)

 

Rheumatoid Factor

 

KOH Preparation

 

 

Urine Pregnancy Test

 

Occult Blood

 

 

 

 

Occult Blood, gastric

 

 

 

 

Pinworm Prep

 

 

 

 

Urine Colony Count (no ID)

 

 

 

 

Wet Mount

 

 

 

 

 

 

 

4

VI. Mandatory, You Must List Testing Instrumentation and Test Kits Used in the Laboratory

***Please also include test discipline/subdicipline (e.g. Chemistry-Routine) if using Schedule A***

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

VII. Proficiency Testing

I am not enrolled

I am enrolled (complete below)

Name of Company

Discipline

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

__________________________________________

____________________________________________

VIII. Ownership Information

A. Type of Entity

Sole Proprietorship

Partnership

Corporation

Unincorporated Association

Other (Specify) _____________________________________

B.This section is MANDATORY, application will be returned if left blank. Social Security Number is unacceptable

Name

Address

EIN Federal Tax ID

IX. Attestation

I certify that the information provided in this application is true and complete, understanding that any knowing and willful false statement or representation, or failure to fully and accurately disclose the requested information in this application, may be prosecuted under applicable federal or State laws, may lead to a denial, suspension or revocation of the medical laboratory license for this entity, or could result in termination of participation in State or federal reimbursement programs. I further understand that compliance with State laws may not assure compliance with federal laws.

______________________________________________________

________________________

Signature of Laboratory Director

Date

5

For Informational Purposes Only

Examples of Testing for Schedule A- General Permit (Do Not Circle)

Chemistry

Alkaline Phosphatase

Amylase

B-HCG (quantitative)

Blood Lead

CK-MB

Digoxin

Iron

Lipase

Phenytoin

T4-Free

Troponin

TSH

Vitamin D

Genetics

Chromosome Analysis

FISH Studies (Neoplastic and Congenital)

Fragile X Screen

Gaucher Disease (GBA) 8 Mutations

Tay-Sachs (HEXA) 7 Mutations

Y Chromosome Deletions

Forensic Toxicology

Job Related Alcohol

Job Related Drugs of Abuse

Microbiology

AFB Smear

Bacterial Culture

Blood Culture

CSF Bacterial Antigen

Fungus/Yeast Culture

Ova and Parasite

Sensitivity Testing

Viral Culture

Hematology

APTT

CBC

Differential

Fetal Hemoglobin

Fibrinogen

INR

Prothrombin Time

Reticulocyte Count

Sedimentation Rate

Molecular Biology

Adenovirus PCR

BD Affirm Probe Test

Chlamydia PCR

EBV PCR

HCV Genotyping

HIV Drug Resistance Genotyping

HIV Viral Load

Pathology

Dermatopathology

Fine Needle Aspirations

Grossing

Histopathology

Oral Pathology

Other Cytology

Pap Smear Interpretations

Immunology

Anti-Nuclear Antibody

Epstein Barr Antibodies

GM1 Antibody

Hepatitis B Surface Antibody

Hepatitis B Surface Antigen

Herpes Antibody

HIV Antibody

Lyme Antibody

Non Transplant Related Histocompatibility

6

To prevent a delay in processing your application please check to make sure all of the following are included:

Completed application with each section completely filled out

Signature of Medical Director must match Director name in section II of application

If the status of your CLIA certificate is changing, a completed CMS 116 form must be submitted

Director Qualifications

Copy of CV, Diploma (highest degree), ECFMG (if applicable), board certification for MD or PhD (if applicable)

Technical Supervisor Qualifications (for the discipline of HISTOLOGY)

Copy of American Pathology Board certification in Anatomical Pathology

Copy of Maryland (Board of Physicians) license to practice medicine

Genetics Testing

Copy of Technical Supervisor’s diploma (must be MD, DO or PhD), board certification from the American Board of Medical Genetics or 4 years of verified (not self-generated) experience in clinical genetics and CV

Copy of Test Menu

Copy of a Validation Study of one test (includes a summary and raw data)

Letter from Director documenting that the lab does not perform “Direct to Consumer” testing

Certificate of Accreditation Laboratories

Copy of enrollment verification from the designated accrediting organization

____________________________________________________________________________________________

Applicants Located in Maryland

Completed CLIA application in agreement with State application

Copy of Director’s Maryland (Board of Physicians) license to practice medicine

For High Complexity Laboratories: Documentation

of training, education and previous experience

that meets CLIA Sec. 493.1443: Standard:

Laboratory Director Qualifications

For Moderate Complexity Laboratories:

Board Certification or Documentation of 20 CME from approved programs for Medical Director that meets CLIA Sec. 493.1405

Documentation of licensure as a practitioner seeking a Letter of Exception (midwife, nurse practitioner, PA, chiropractor, podiatrist, dentist)

Applicants Located Out of State

Copy of CLIA certificate and State Laboratory License, if applicable

Copy of most recent survey, which includes cited deficiencies and corrective actions

Copy of Director’s State license to practice medicine from the State where the laboratory is located

Documentation of training, education and previous experience that meets CLIA Sec. 493.1443: Standard: Laboratory Director Qualifications

Proof of most recent participation in annual GYN cytology proficiency testing

File Breakdown

Fact Name Details
Application Purpose The Maryland State Compliance Application form is used for changes to an existing state laboratory license and must be submitted on the Laboratory Licensing Change Form available on the Maryland Department of Health's website.
Application Requirements Applicants must fill out the form completely, including signatures where required, to avoid delays in the licensing process. No payment should be submitted with the application; invoices will be issued once the application is reviewed.
Processing Time The permit processing and invoicing may take approximately 6-8 weeks from the time of application submission.
Governing Laws The application process and requirements are governed by regulations outlined in COMAR 10.10.04.02, ensuring compliance and oversight by the Maryland Department of Health and Mental Hygiene's Office of Health C

Steps to Filling Out Maryland State Compliance Application

Completing the Maryland State Compliance Application form is a critical step in ensuring that a laboratory operates legally within the state. This process involves detailed documentation and verification to meet state requirements. It is important for applicants to provide accurate and complete information to avoid delays in licensing. The instructions below guide you through each section of the form, ensuring thorough completion. Remember to refer to the checklist on the last page of the application before submitting to ensure all necessary documents and information are included.

  1. On the front page of the application, fill out the laboratory information section. Provide the type of laboratory (e.g., Physician Office, Hospital Laboratory), the name of the practice or entity, contact person name along with phone number, full address including city, state, and zip code, email address, and fax number. If the mailing address is different from the provided address, include it as well.
  2. Complete the Director Information section. Enter the director's name, degree, if they are full or part-time, hours per week if part-time, certification by American Specialty Board including the name, date, and number, and state medical license number.
  3. Fill out the Laboratory Supervisor/Consulting Supervisor/Manager Information section with the required details similar to the director's information section.
  4. For Schedule A – General Permit, indicate the types of tests your laboratory will perform. Only fill this out if you perform tests beyond those listed in Schedule B – Excepted Tests. Categories include Chemistry, Genetics, Forensic Toxicology, and others. Skip this step if you only perform Excepted Tests.
  5. In the Schedule B – Excepted Tests section, specify any such tests your laboratory performs. This includes simpler tests such as Dipstick Glucose or Urine Pregnancy Test. Refer to the provided list and mark the applicable tests.
  6. Under the Mandatory Testing Instrumentation section, list all testing instrumentation and test kits used in your laboratory. Include test discipline/subdiscipline if using Schedule A.
  7. If enrolled in a proficiency testing program, indicate so in Section VII by checking "I am enrolled" and provide the name of the company and discipline. If not enrolled, check "I am not enrolled."
  8. In the Ownership Information section, select the type of entity (e.g., Sole Proprietorship, Corporation) and fill out the mandatory fields, including name, address, and EIN Federal Tax ID. This application will be returned if this section is left blank.
  9. Finally, the Attestation section requires the laboratory director's signature to certify that the information provided is true and complete. Sign and date this section, acknowledging the implications of providing false information.

After completing the form, review it carefully to ensure all information is accurate and no sections are missed. Submit the application to the Maryland Department of Health and Mental Hygiene Office of Health Care Quality – Laboratory Licensing Programs using the provided contact details. Remember, the submission of this form does not require any fees initially; an invoice will be sent after the review. Processing and invoicing might take 6-8 weeks, so planning accordingly is advised.

More About Maryland State Compliance Application

What is the purpose of the Maryland State Compliance Application form?

This form is used for applying for or reinstating a laboratory license under the auspices of the Maryland Department of Health and Mental Hygiene Office of Health Care Quality – Laboratory Licensing Programs. It ensures laboratories operating in Maryland comply with the state’s health and safety regulations.

How long does the permit processing take?

After submitting a fully completed application, permit processing and invoicing take approximately 6-8 weeks. It is essential that all parts of the application are filled out correctly and completely to avoid delays.

Is there a fee associated with the application, and when should it be paid?

No payment should be submitted with the application. An invoice for the application fee, along with any applicable additional fees outlined in COMAR 10.10.04.02, will be issued once the application has been reviewed for completeness and compliance. Payment instructions will be provided with the invoice.

What are Excepted Tests under Schedule B, and how do I know if my tests are excepted?

Excepted Tests under Schedule B are specific laboratory tests that are exempt from certain regulatory requirements in Maryland, though they may not be waived by CLIA regulations. To verify if specific tests conducted by your laboratory are considered excepted, review the CLIA test categories available at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfclia/search.cfm . Schedule B in the application form also lists common examples of Excepted Tests.

What documentation is required when submitting the application?

To ensure your application is processed without delay, review the checklist on the last page of the application form. Required documentation typically includes:

  • Laboratory and Director Information
  • List of testing instrumentation and test kits used
  • Proof of proficiency testing enrollment or exemption, if applicable
  • Ownership Information, including EIN or Federal Tax ID

Failure to provide complete and accurate information may result in processing delays or application rejection.

Common mistakes

  1. Filling out the application without reviewing the Supporting Documentation Requirements first - Applicants often jump straight into filling out the Maryland State Compliance Application without first checking what documentation is required. This leads to submitting incomplete applications because they miss providing essential supporting documents listed on page six.

  2. Overlooking the checklist on the last page before submission - A common mistake is not using the application checklist provided on the last page. This checklist is crucial for ensuring all parts of the application are completed and all necessary documents are included. Skipping this step can cause delays in the approval process.

  3. Entering incorrect or incomplete laboratory and director information - Mistakes or omissions in the Laboratory Information (Section I) and Director Information (Section II) are frequent. Accurate and complete information in these sections is vital for a successful application process. Errors can include incorrect contact details or leaving the certification and license number fields blank.

  4. Not specifying the correct tests or categories in Schedule A and B - Some applicants either do not specify the correct tests they are performing in Schedule A - General Permit or mistakenly include tests that should be listed under Schedule B - Excepted Tests. It is important to correctly categorize the tests to expedite the review process.

Documents used along the form

When preparing to submit the Maryland State Compliance Application form, it's important to have all necessary documents ready to ensure a smooth and efficient processing. Along with the application, there are several forms and documents that are often required to complete the submission process. These documents play a crucial role in verifying the information provided and demonstrating compliance with state regulations.

  • CLIA Certificate – The Clinical Laboratory Improvement Amendments certificate is needed to show federal compliance for conducting laboratory tests on human samples.
  • Laboratory Licensing Change Form – If there are any changes to the laboratory's current license information, this form must be submitted to update the records.
  • Director Qualifications Form – This documents the director's credentials, including education, certifications, and licenses, to ensure they meet state requirements.
  • Ownership Documentation – Provides proof of the laboratory's legal ownership structure, which may include incorporation documents or partnership agreements.
  • Proof of Insurance – Evidence of liability insurance coverage is often required to protect against potential claims.
  • Equipment List – A comprehensive list of all the testing instrumentation and equipment used in the laboratory, detailing make, model, and function.
  • Proficiency Testing Enrollment Proof – Document showing the laboratory's enrollment in an approved proficiency testing program, which assesses the accuracy of test results.
  • Quality Control Procedures – Documentation of the laboratory's processes for ensuring consistent, accurate test results, including standard operating procedures.

Each document plays a significant role in complementing the Maryland State Compliance Application. Ensuring that all supporting documents are accurate and up-to-date aids in the timely approval of the application. It is advisable to review the requirements thoroughly and prepare all necessary documentation before submitting the application to the Maryland Department of Health Office of Health Care Quality.

Similar forms

The Maryland State Compliance Application form is similar to other regulatory compliance forms required for laboratory operations, such as the Clinical Laboratory Improvement Amendments (CLIA) application and the College of American Pathologists (CAP) accreditation application. These forms share the function of ensuring that laboratories meet specific standards of operation, quality control, and regulatory compliance. Although the specifics of each application vary according to the overseeing body's requirements, they all necessitate detailed information on laboratory practices, personnel qualifications, types of tests conducted, and quality assurance measures.

For instance, the CLIA application focuses on the laboratory's compliance with federal standards for laboratory testing. It requires information similar to the Maryland State Compliance Application, such as laboratory and director details, but it places a strong emphasis on the categorization of tests (waived, moderate, or high complexity) based on the potential risk to public health. Both applications necessitate the laboratory to prove their capability in providing accurate and reliable test results, but the CLIA application specifically addresses compliance with federal testing standards and might involve more in-depth scrutiny of the laboratory's testing procedures and error rates.

On the other hand, the CAP accreditation application lays emphasis on quality improvement practices alongside compliance. It is similar to the Maryland State Application in that it requires laboratories to provide detailed profiles of their operations, including personnel qualifications, equipment, and test menus. However, CAP also requires evidence of participation in proficiency testing, detailed quality control procedures, and quality improvement initiatives, making it more focused on the laboratory's continuous efforts to enhance testing accuracy and reliability. While the Maryland State Compliance Application ensures the laboratory meets state-specific regulatory requirements, the CAP accreditation process aims at elevating the overall standards of laboratory medicine through rigorous peer review and continuous monitoring.

Dos and Don'ts

When filling out the Maryland State Compliance Application form, there are several key actions you should take to ensure the process is smooth and error-free. Equally, there are things you should avoid to prevent potential delays or issues with your application. Here are nine essential dos and don'ts:

  • Do review the application in its entirety before beginning to ensure you understand all the requirements.
  • Do ensure that you fill out every required section of the application completely. Missing information can lead to processing delays.
  • Do double-check the list of required supportive documentation on page six of the application and make sure you attach all necessary documents.
  • Do verify all the contact information you provide, including email addresses and phone numbers, to ensure they are accurate and current.
  • Do review the checklist on the last page of the application before submitting to ensure that all steps have been followed.
  • Don't submit any payment with your application, as the instructions specify that no money should be submitted at this time.
  • Don't leave the ownership information section blank, as this is mandatory and your application will be returned if it is not completed.
  • Don't use the Social Security Number in place of the EIN (Federal Tax ID) in the Ownership Information section, as this is not acceptable.
  • Don't sign the Attestation section without carefully reading and understanding it, as signing it certifies that the information provided in the application is true and complete.

Following these guidelines will help you ensure that your application is filled out correctly and efficiently, reducing the likelihood of delays or complications in the processing of your Maryland State Compliance Application form.

Misconceptions

  • One common misconception is that submitting the Maryland State Compliance Application form is the final step in obtaining a laboratory license. In reality, submitting the application is just the beginning of the process. The application must be reviewed for completeness and compliance with applicable regulations before an invoice is issued for the application fee. Following payment, the appropriate license will be issued, which can take 6-8 weeks for processing and invoicing.

  • Many believe that money needs to be submitted with the Maryland State Compliance Application form. However, applicants are instructed not to submit any money at the time of application. The application review process must first ascertain that all requirements are met before any fees are invoiced, ensuring that applicants are only charged upon verification of their application's completeness and compliance.

  • Another misconception is that all tests performed by a laboratory are covered under a general permit as listed in Schedule A of the application. However, certain tests, known as Excepted Tests in Schedule B, do not use this section and have different requirements. It's essential to review the specific test categories, as not all tests excepted by Maryland regulations are waived by CLIA, indicating a more nuanced understanding of permit requirements is necessary.

  • Some applicants might mistakenly believe that the instructions for completing the state compliance application do not emphasize the significance of providing correct supportive documentation. Yet, the application clearly advises reviewing the supportive documentation on page six, highlighting the importance of verifying that all necessary documents are in order before submission. This step is crucial to avoid delays in the licensing process.

  • It is often thought that the process for changes to a current state laboratory license involves a different procedure or form that is difficult to find. The reality is straightforward: changes must be submitted on the Laboratory Licensing Change Form, which is readily accessible for download on the specified website. This dispels the notion that modifications to an existing license are cumbersome to report and streamlines the process for maintaining current and accurate license information.

Key takeaways

When applying for a Maryland State Compliance Application for laboratory licensing, understanding the key components and requirements is crucial. Here are nine essential takeaways to guide you through the application process:

  1. Always refer to the Laboratory Licensing Change Form if you need to update any information on your current state laboratory license. This form is readily accessible on the Maryland Department of Health's website.
  2. Completeness and accuracy are paramount when filling out your application. Missing information or signatures will delay the licensing process, impacting your laboratory's operational readiness.
  3. Do not submit any payment with your application. An invoice for the application fee and any other relevant fees will be issued once your application has been reviewed for completeness and compliance.
  4. It typically takes between 6-8 weeks for permit processing and invoicing. Planning your application submission accordingly can help avoid unnecessary operational disruptions.
  5. Ensure you have supplied the correct supportive documentation as indicated on page six of the application. This may include credentials for the laboratory director and any supervisory staff, as well as details about your testing facilities and equipment.
  6. Prior to submission, review the checklist on the last page of the application. This helps to verify that all required information has been included and is accurately represented.
  7. The application distinguishes between Schedule A - General Permit and Schedule B - Excepted Tests. It’s important to understand which category your laboratory's testing capabilities fall into, as not all tests excepted by Maryland regulations are waived by CLIA.
  8. Listing your testing instrumentation and test kits used in the laboratory is mandatory. This information helps in assessing your laboratory's capacity and compliance with state regulations.
  9. The attestation section of the application requires the signature of the Laboratory Director. Signing it confirms that all provided information is true and complete. Misrepresentation or failure to disclose requested information may have legal consequences, including potential denial, suspension, or revocation of the laboratory license.

By carefully considering these key takeaways and ensuring the completeness and accuracy of your application, you can facilitate a smoother licensing process. This careful preparation not only aids in compliance with state regulations but also lays a solid foundation for your laboratory's operational success.

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