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Agency Schedule Detail

Authorization Number :  440-0476
Agency Series No. :  13-05
Status :  Active
Agency Web Link : 
Agency :  DOH
Confidential Description :  N/A-Load
Division : 
Vital Description : 
Section : 
Record Title :  Clinical Laboratory Improvement Amendment Files
Revision :  0
Record Description :  This record series contains documents and forms pertaining to the application, survey, and certification of clinical laboritories as specified by the Clinical Laboratory Improvement Amendments of 1988 (CLIA); 42 CHR Part 493 and plasmapheresis surveys as required by ORC Chapter 3725 Plasmaphersis Centers. Documentation may include, but is not limited to, the application, correspondence, change of ownership, statement of deficiancies and plan of correction, change requests (name, address, certificate type), proficiency test summaries/reports, personnel qualifications, fees and enforcement. This schedule is applicable to all test categories (waived, moderate, and high complexity) and certificate type (waived, provider performed microscopy, accreditation, and compliance.
Retention Period Retention Justification Media Code Method of Disposal
Retain for three years following the year in which the record is created or two survey cycles (four years). Destroy after expiration of retention period provided there is no pending enforcement action State Operation Manual - HCFA Pub. 7 - Part 6 (6138 Paper Shred

Approvals

Status Name Title Date
Approved Transfer User Records Viewer 5/2/2001 12:00:00 AM

Notes

Date Reason User

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