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Get California Tissue Bank License

Ity, state, and ZIP code: Expires on: INSTRUCTIONS To renew the provisional tissue bank license, complete this form and the Tissue Bank Personnel Report (LAB 169). Return both with the current fee. (No fee is required of district, city, county, or state facilities.) Make check payable to: State of California Tissue Bank Fund. SEND TO: California Department of Public Health Laboratory Field Services 850 Marina Bay Parkway, Bldg. P, 1st Floor Richmond, CA 94804-6403 Yes No 1. Has t.

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