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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, 1992 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 the purpose of Form CMS-209?
A: The purpose of Form CMS-209 is to report laboratory personnel information under the Clinical Laboratory Improvement Amendments (CLIA).
Q: Who needs to fill out Form CMS-209?
A: Laboratories regulated under CLIA need to fill out Form CMS-209.
Q: What information is required on Form CMS-209?
A: Form CMS-209 requires information about laboratory personnel, such as their names, qualifications, and testing specialties.
Q: When should Form CMS-209 be submitted?
A: Form CMS-209 should be submitted annually, within 90 days after the laboratory's fiscal year ends.
Form Details:
- Released on September 1, 1992;
- 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 printable 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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