If you currently hold a Certificate of Compliance or Certificate of ...

GOV/CLIA. OR CONTACT YOUR LOCAL STATE AGENCY. PLEASE SEE THE REVERSE FOR. YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER.
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Certs2_071415

If you currently hold a Certificate of Compliance or Certificate of Accreditation, below is a list of the laboratory speciaIties/subspeciaIties you are certified to perform and their effective date:

LAB CERTIFICATION GENERAL IMMUNOLOGY ROUTINE CHEMISTRY HEMATOLOGY

(220)

(310)

(400)

HISTOPATHOLOGY

(CODE)

EFFECTIVE DATE

LAB CERTIFICATION

(CODE)

EFFECTIVE DATE

08/13/2013 08/13/2013 08/13/2013

(610)

08/13/2013

FOR MORE INFORMATION ABOUT CLIA, VISIT OUR WEBSITE AT www.CMS.GOV/CLIA OR CONTACT YOUR LOCAL STATE AGENCY. PLEASE SEE THE REVERSE FOR YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER. PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICATE.