The DOH Form 505-030, also known as the Categorized Medical Test Site License Application, is a form provided by the Washington State Department of Health (DOH). This document is used by medical testing sites in Washington State to apply for a categorized license. A categorized license is required for any medical test site that performs non-waived testing, which includes moderate complexity testing, high complexity testing, or a combination of these categories, as defined by the Clinical Laboratory Improvement Amendments of 1988 (CLIA). The form captures all the necessary information the DOH needs to properly license the site.
The DOH Form 505-030 Categorized Medical Test Site License Application - Washington is usually filed by healthcare facilities or laboratories in the state of Washington that intend to perform categorized medical testing. This can include hospitals, clinics, and independent labs, among others. They are required to file this form to obtain a license to perform these tests as per the norms and regulations stipulated by the Washington State Department of Health.
Q: What is DOH Form 505-030?
A: The DOH Form 505-030 is a Categorized Medical Test Site License Application form used in Washington, USA. This form is used by medical laboratories that need to apply for a license to operate in the state of Washington.
Q: Who should file DOH Form 505-030?
A: Medical laboratories that are seeking a license to operate in the state of Washington should file the DOH Form 505-030.
Q: How do I obtain DOH Form 505-030?
A: DOH Form 505-030 is typically obtained from the Washington State Department of Health's website or office.
Q: Is DOH Form 505-030 required for all medical testing sites in Washington?
A: Yes, the DOH Form 505-030 is a requirement for all medical testing sites operating in Washington. The form helps the Department of Health in ensuring that these sites meet all regulatory standards.
Q: How to complete DOH Form 505-030?
A: To complete the DOH Form 505-030, the applicant must provide all required information, such as the name and location of the medical test site, the type of tests performed, and details about the site director or testing personnel. The completed form should then be submitted according to the instructions provided on the form.