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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-1557
for the current year.
Form CMS-1557 Survey Report Form (Clia)
What Is Form CMS-1557?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on December 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form CMS-1557 Survey Report Form (Clia)?
A: The Form CMS-1557 is a survey report form used for Clia compliance.
Q: What does Clia stand for?
A: Clia stands for Clinical Laboratory Improvement Amendments.
Q: Who uses the Form CMS-1557 Survey Report Form?
A: The Form CMS-1557 is used by healthcare facilities that perform lab testing.
Q: What is the purpose of the Form CMS-1557 Survey Report Form?
A: The form is used to assess compliance with Clia regulations at healthcare facilities.
Form Details:
- Released on December 1, 2018;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-1557 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-1557 Survey Report Form (Clia)
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