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Get CA LAB 144 2007

TORY LICENSE Division 2, Chapter 3, California Business and Professions Code INSTRUCTIONS: Please use typewriter or print in ink. Complete both sides of this application and return with required information and required fee. California Department of Public Health LABORATORY FIELD SERVICES 850 Marina Bay Parkway, Bldg. P, 1st Floor Richmond, California 94804-6403 Send to: 1. Name of laboratory (exactly as desired on license) 2. CLIA certificate number Laboratory location (street,number) 3.

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