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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-209
for the current year.
Form CMS-209 Laboratory Personnel Report (Clia)
What Is Form CMS-209?
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 September 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 Form CMS-209?
A: Form CMS-209 is the Laboratory Personnel Report (CLIA).
Q: What is CLIA?
A: CLIA stands for Clinical Laboratory Improvement Amendments.
Q: What is the purpose of Form CMS-209?
A: The purpose of Form CMS-209 is to report detailed information about laboratory personnel who perform testing in CLIA-certified laboratories.
Q: Who needs to complete Form CMS-209?
A: CLIA-certified laboratories need to complete Form CMS-209.
Q: What information is required on Form CMS-209?
A: Form CMS-209 requires information such as the name, job title, education, and training of laboratory personnel.
Q: How often is Form CMS-209 required to be completed?
A: Form CMS-209 needs to be completed annually.
Q: Are there any fees associated with Form CMS-209?
A: No, there are no fees associated with completing Form CMS-209.
Q: Is Form CMS-209 mandatory?
A: Yes, Form CMS-209 is mandatory for CLIA-certified laboratories.
Q: Who should I contact for assistance with Form CMS-209?
A: You can contact the CLIA Program for assistance with Form CMS-209.
Form Details:
- Released on September 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-209 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-209 Laboratory Personnel Report (Clia)
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