Get Clia Form 1513 2005

Completing the CLIA Form 1513 is a crucial step for laboratories seeking certification under the Clinical Laboratory Improvement Amendments. This guide provides detailed instructions on how to accurately fill out the form online, ensuring that all required information is properly submitted.

Follow the steps to complete the CLIA Form 1513 online.

1. Press the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. In Part I, provide the identifying information including the name of the entity, doing business as (DBA), street address, employer identification number (EIN), telephone number, and the city, county, and state.
3. For Part II, answer the yes or no questions regarding ownership and control interests, and if necessary, provide additional information in the Remarks section.
4. In Part III, list the names of all individuals and organizations with direct or indirect ownership or controlling interest in the entity. Ensure you distinguish between direct and indirect ownership as defined.
5. Proceed to Parts IV to VII, indicating any changes in status such as changes in ownership or directorial positions. If you check 'yes' in any section, provide the requested additional information in the Remarks section.
6. Review all entries for accuracy and current information before finalizing the form.
7. Once completed, you can save changes, download, print, or share the form as needed.

Begin filing the CLIA Form 1513 online today to ensure compliance and secure your laboratory's certification.