Loading
Get Lab 167
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Lab 167 online
Filling out the Lab 167 form is essential for out-of-state laboratories reporting their annual test volume of California specimens. This guide provides you with clear, step-by-step instructions on how to complete the form online, ensuring accuracy and compliance.
Follow the steps to complete your Lab 167 form online
- Click the ‘Get Form’ button to access the Lab 167 document and open it in your preferred editing tool.
- Enter the name of your laboratory in the designated field. Make sure the name is accurate and matches official records.
- Provide the state ID number associated with your laboratory. This is critical for identification purposes.
- Input the laboratory's address, including the number, street, city, and ZIP code. Ensure that all details are correctly spelled and formatted.
- In the specialty/subspecialty section, select the appropriate categories that apply to the tests performed. Each specialty will have a corresponding annual test volume field where you should input the number of tests conducted.
- Complete each annual test volume field corresponding to the specialties listed. If your laboratory conducts additional tests not specified in the table, use the space provided to list these along with their annual test volumes on additional sheets if necessary.
- Sum up all the annual test volumes in the sub-total field and ensure that the total volume is calculated correctly in the total volume section.
- Provide an authorized signature, print the name of the signing individual, and add the date of completion in the corresponding fields.
- After filling out all the required fields, ensure that your form is saved. You can also download, print, or share the completed Lab 167 form based on your needs.
Complete your Lab 167 form online today and ensure your laboratory complies with California reporting requirements.
Definition/Introduction Clinical Chemistry. Clinical Microbiology. Hematology. Blood banking and Serology (aka Immunohematology, Transfusion Medicine) Clinical Microscopy. Histopathology and Cytopathology. Molecular Biology.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.