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Get Wa Credential Status Change Form 2014
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How to fill out the WA Credential Status Change Form online
Filing the WA Credential Status Change Form online is a straightforward process aimed at ensuring that critical information about your medical testing site is current. This guide will provide clear and precise steps to help you effectively complete each section of the form online.
Follow the steps to complete the WA Credential Status Change Form online.
- Press the ‘Get Form’ button to access the WA Credential Status Change Form and open it for editing.
- Fill in your information in the 'Your Information' section. This includes the MTS Name, Effective Date of Change, MTS License Number, and Clinical Laboratory Improvement Amendments (CLIA) number.
- Indicate the type of change you are making by selecting from the options provided, including an address change, phone number change, fax number change, email change, or facility name change. Fill in the relevant new information in the corresponding fields.
- If applicable, complete the sections for any new laboratory contacts. This includes entering the Name of the New Laboratory Contact, along with their Email Address.
- For changes in laboratory directors, note that you should only complete pages two and three if you are changing the director of a categorized or accredited license. Select the appropriate qualifications of personnel for Moderate and High Complexity Testing as needed.
- Ensure you check the box corresponding to the director's qualification based on the listed options and provide any necessary information regarding the dates and laboratories.
- Lastly, the Medical Test Site Director should sign and date the form, certifying that the information provided is accurate.
- Once all sections are completed, you can save your changes, download the filled form, print it, or share it as needed.
Start filling out your WA Credential Status Change Form online today.
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Getting a Washington CNA license usually takes a matter of weeks, depending on various factors. Completing the training program and passing the exam is essential. Submitting your WA Credential Status Change Form without delay can help speed up the licensing process. Being proactive is always beneficial.
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