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Form # CMS 116
Form Title CLINICAL LABORATORY IMPROVEMENT AMENDMENTS OF 1988 (CLIA) APPLICATION FOR CERTIFICATION
Revision Date 10/01/2007
O.M.B. # 0938-0581
O.M.B. Expiration Date 12/31/2010
CMS Manual N/A
Special Instructions N/A

 


 
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CMS 116
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Last Modified Date : 11/16/2009
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