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  • Clm And Clf Cdph Licenses Form

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LM, CLR, CLP, COS) CLIA ID #: 05D Laboratory Name: Laboratory Address: City, State and Zip Code: Telephone Number: Fax Number: E-mail Address: Please mail completed form to: California Department of Public Health, Laboratory Field Services, ATT: Facilities st Licensing, 850 Marina Bay Parkway, Bldg P, 1 Floor, Richmond, California 94804-6403. THIS IS TO REQUEST CERTIFICATE CHANGE: THIS IS TO INFORM YOU OF A From: Change of ownership ( See note below ) TO:.

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Laboratory Field Services (LFS) provides registration and licensing services for clinical and public health laboratories as prescribed by law.

Create an Account and Log In (User Manual) To create an account, go to: Create An Account (https://accountportal.cdph.ca.gov/licensing.aspx) ... 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.

Applications can be found on our website at http://publichealth.lacounty.gov/eh/about/permit.htm. 5. Provide the business: name, address, phone, email, website, and hours of operation. The business email will be where inspection reports will be sent to and where Public Health may send communications.

Minimum one year of post-baccalaureate clinical training as a CLS. Minimum one year of work experience as a CLS performing high complexity testing in hematology, chemistry, blood bank, and microbiology. Training or work experience must be comprehensive to cover all areas of the clinical laboratory.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232