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Get CA Letter of Phlebotomy Experience for California Certification 2015-2024

Ss: __________________________________________________________ __________________________________________________________ Laboratory eMail: __________________________________________________________ Laboratory Telephone: __________________________________________________________ Laboratory CLIA Certificate #: __________________________________________________________ Laboratory CLIA Certificate type: COW | PPMP | COC | COA (Circle One) Applicant Information: Name of Applicant: _______.

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