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  • Clia Form 1513 2005

Get Clia Form 1513 2005

I(b) of this form. Failure to submit requested information may result in the suspension or revocation of any CLiA cert)ficate or denial of application for prospective laboratories. General Instructions For definitions, procedures and requirements, appropriate Regulations: CLiA Title XVIII Title XIX Title XX refer to the -42CFR 493 -42CFR 420 200-206 -42CFR455100-106 -45CFR 228 72-73 Please answer all questions as of the current date. If the yes block for any item is checked, list requested a.

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How to fill out the CLIA Form 1513 online

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.

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A CLIA waiver form, specifically the CLIA Form 1513, is a document that helps laboratories operate without meeting certain federal requirements. This form allows facilities to perform specific types of tests that have been deemed low-risk. By obtaining a CLIA waiver, your laboratory can streamline operations, reduce regulatory burdens, and focus more on patient care. Utilizing the resources on our platform can guide you through this important process.

A disclosure of ownership form is essential for medical facilities, detailing ownership interests and affiliations. This form supports compliance with regulations and specifically accompanies the CLIA Form 1513 for proper certification. Transparency in ownership helps build trust with patients and regulators alike. For further assistance in preparing your disclosure of ownership form, you can leverage uslegalforms to access templates and guidelines.

To check your CLIA certification status, you can visit the official CLIA website and use their search tool. Simply input your laboratory's information, and you'll find details about your CLIA Form 1513 certification. This resource is user-friendly and provides real-time updates on your status. Additionally, if you need assistance, uslegalforms offers easy access to related documentation and guidance.

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Get CLIA Form 1513
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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
CLIA Form 1513
This form is available in several versions.
Select the version you need from the drop-down list below.
2012 Form 1513 Journal Request
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  • 2012 Form 1513 Journal Request
  • 2005 CLIA Form 1513
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