Hla mus rau Cov Ntsiab Lus Tseem Ceeb​​ 

Clinical Laboratory Application Information​​ 

Clinical Laboratories​​  yuav tsum xa lawv daim ntawv thov los ntawm PAVE (Cov Ntawv Thov Kev Pabcuam thiab Kev Pov Hwm rau Kev Sau Npe).​​ 

Daim ntawv tso cai thiab ntawv pov thawj​​ 

 Ua ntej ua ntawv thov rau Medi-Cal, koj yuav tsum tau txais daim ntawv tso cai California Clinical Lab Licence lossis Kev Sau Npe los nrog koj qhov Kev Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kom Zoo (CLIA). Tshawb xyuas nrog California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv, Lub Chaw Pabcuam Hauv Cheeb Tsam ntawm (510) 620-3800 txhawm rau txheeb xyuas tias koj ua tau raws li tag nrho cov cai ntawm daim ntawv tso cai.​​ 

Tus nqi thov​​ 

Pib txij Lub Ib Hlis Ntuj Tim 1, 2013, cov neeg thov kev thov rau npe ua Tus Kws Kho Mob Chaw Kho Mob yuav raug them tus nqi thov thaum xa lawv daim ntawv thov.  Daim Ntawv Thov Medi-Cal Cov Nqi Them Rau Kev Ua Raws Li Txoj Cai 42 Txoj Cai ntawm Tsoom Fwv Teb Chaws Txoj Cai Tshooj 455.460Kev Cai Lub Chaw Pabcuam Tshaj Tawm muab cov ntaub ntawv tshwj xeeb hais txog qhov yuav tsum tau ua no.  Rau cov ntaub ntawv tus nqi thov tam sim no, thov mus saib Tus Nqi Thov Tam Sim No ntaub ntawv/page.​​ 

Cov ntaub ntawv xav tau​​ 

  1. Daim Ntawv Tso Cai Tsav Tsheb lossis daim npav qhia tawm hauv lub xeev (tso tawm hauv 50 Tebchaws Meskas lossis Cheeb Tsam ntawm Columbia) ntawm tus neeg muab kev pabcuam, lossis tus neeg kos npe rau daim ntawv thov uas muaj txoj cai khi rau tus neeg thov lossis tus neeg muab kev pabcuam. Daim ntawv kos npe yuav tsum yog tus muab kev pabcuam, tshwj tsis yog tus neeg muab kev pabcuam yog lub koomhaum. Yog tias tus kws kho mob yog ib lub tuam txhab thiab daim ntawv thov yuav raug kos npe los ntawm ib tus neeg uas tsis yog tus muab kev pabcuam, thov xa ib daim ntawv theej ntawm ntu ntawm lub tuam txhab txoj cai lij choj uas txheeb xyuas tus neeg kos npe txoj cai rau kev cai lij choj lub koom haum.​​   

  2. Federal Employer Identification Number (FEIN) los yog Individual Taxpayer Identification Number (ITIN) verification, yog tsis siv tus social security naj npawb, los ntawm kev xa ib daim ntawv tam sim no Internal Revenue Service (IRS) generated. Tsuas yog cov ntaub ntawv lees paub muaj xws li IRS-tsim Tsab Ntawv 147-C, IRS-tsim Daim Ntawv 941 (Tsuas Ua Haujlwm Lub Peb Hlis Federal Tax Return), IRS-tsim Daim Ntawv Foos 8109-C (Daim Coupon Deposit), lossis IRS-tsim Daim Ntawv SS-4 (tsuas yog Daim Ntawv Pom Zoo/Kev Qhia Txog Tus Kheej). Nco tseg: Lub npe raug cai ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim lub npe ntawm IRS-tsim cov ntaub ntawv; thiab tus neeg thov kev pab yuav tsum yog tus tswv lossis tus tub ceev xwm ntawm lub chaw teev npe hauv daim ntawv IRS. Yog xav paub ntxiv, thov xyuas nrog IRS lossis hu rau lawv ntawm (800) 829-4933.​​ 

  3. Clinical Laboratory Improvement Amendment (CLIA) Certificate (txhua nplooj ntawv), tsim nyog rau qib kev sim ua. Yog xav paub ntxiv, mus saib hauv Lub Chaw rau Medicare thiab Medicaid Services. 
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    • Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov, daim ntawv pov thawj CLIA, thiab Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv / Kev Sau Npe yuav tsum sib haum. Yog tias koj tab tom muab kev pabcuam hauv tsev kho mob thiab siv tsev kho mob CLIA, suav nrog sau ntawv lees paub los ntawm lub tsev kho mob tias koj raug tso cai siv tsev kho mob CLIA.​​ 

  4. California Clinical Laboratory Licence/Registration, los yog kev pov thawj ntawm kev zam los ntawm daim ntawv tso cai / sau npe. Hu rau lub chaw ua haujlwm Laboratory Field Services ntawm (510) 620-3800 txhawm rau txiav txim siab seb daim foos tshwj xeeb uas koj yuav tsum xa, thiab tom qab ntawd rub tawm cov ntawv no.  Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov, daim ntawv pov thawj CLIA, thiab Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv / Kev Sau Npe (lossis kev zam) yuav tsum sib haum.​​ 

  5. Daim ntawv tso cai ua lag luam hauv zos, daim ntawv pov thawj se, thiab daim ntawv tso cai rau txhua lub nroog thiab / lossis lub nroog uas muaj kev lag luam ua lag luam. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob ua lag luam ntawm txhua daim ntawv tso cai hauv zos thiab cov ntawv tso cai. Yog tias tsis tas yuav tsum muaj daim ntawv tso cai ua lag luam / daim ntawv tso cai, thov xa ib daim ntawv sau los ntawm koj lub nroog / lub nroog uas qhia tias koj lub lag luam tsis tas yuav muaj ntawv tso cai lossis ntawv tso cai. Yog xav paub ntxiv, thov hu rau koj lub nroog lub chaw ua haujlwm daim ntawv tso cai ua lag luam thiab/lossis mus saib hauv California Lub Xeev Lub Koom Haum Koom Tes ntawm Lub Nroog, nyem rau ntawm "California's Counties" txuas, thiab xaiv "Lub Nroog Web Sites."​​   

  6. Sau/stamped Fictitious Business Name Statement (FBNS), tawm los ntawm lub nroog uas lub chaw tseem ceeb ntawm kev lag luam nyob, yog siv lub npe lag luam cuav THIAB lub npe lag luam txawv ntawm lub npe raug cai ntawm koj daim ntawv thov. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm lub tuam txhab, ib lub npe uas tsis yog lub koom haum lub npe nyob rau hauv cov ntaub ntawv nrog tus Secretary of State yuav tsum tau ib tug FBNS. Nco tseg: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov, tag nrho cov ntawv tso cai ua lag luam hauv zos, thiab FBNS yuav tsum sib haum. Txhawm rau txiav txim siab txog lub nroog lub chaw haujlwm uas muaj npe ua lag luam, thov mus saib hauv California State Association of Counties nyem rau ntawm "California's Counties" txuas, thiab xaiv "Lub Nroog Web Sites."​​ 

  7. Daim Ntawv Tso Cai Muag Khoom tau muab los ntawm California State Board of Equalization, yog tias tsim nyog. Nco tseg: Lub npe lag luam thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum phim lub npe lag luam thiab chaw nyob ua lag luam ntawm tus muag daim ntawv tso cai. Yog xav paub ntxiv, mus saib hauv Pawg Neeg Saib Xyuas Kev Ncaj Ncees lossis hu rau lawv ntawm (916) 445-6362.
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  8. Ua tiav Daim Ntawv Pom Zoo Sib Koom Tes, yog tias koj lub lag luam yog kev koom tes. Kev ua haujlwm qeeb yuav raug zam los ntawm kev qhia seb lub koom haum puas yog General Partnership lossis Limited Partnership thiab tseem xa cov hauv qab no:​​ 

    • a) Rau General Partnership, ib daim ntawv teev npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj cov paj laum rau txhua tus; los yog​​ 

    • b) Rau Kev Koom Tes Ua Lag Luam Txwv, cov ntaub ntawv txheeb xyuas tus khub General, thiab cov npe ntawm txhua tus neeg koom tes nrog feem pua ntawm cov tswv cuab lossis tswj kev txaus siab rau txhua tus.​​ 

    • Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj txoj kev koom tes lossis xav paub ntxiv, thov mus saib Tus Tuav Haujlwm Hauv Xeev California Kev Lag Luam Portal  thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.​​   

  9. Yog tias koj lub lag luam yog ib lub tuam txhab, kev ua haujlwm qeeb yuav raug zam los ntawm kev xa ib daim ntawv luam ntawm Cov Ntawv Pov Thawj ntawm Kev Koom Tes ntawm Lub Xeev, thiab cov npe ntawm cov thawj coj thiab cov tub ceev xwm cov npe thiab cov npe, nrog rau feem pua ntawm cov tswv cuab thiab tswj kev txaus siab rau txhua tus. . Txhawm rau txheeb xyuas lossis hloov lub npe thiab / lossis xwm txheej ntawm koj lub tuam txhab lossis xav paub ntxiv, thov mus ntsib Tus Tuav Ntaub Ntawv Hauv Xeev California Kev Lag Luam thiab nyem rau ntawm "California Lag Luam Tshawb Fawb" txuas lossis lwm qhov txuas uas tsim nyog.​​ 

  10. Certificate of Commercial Liability Insurance (kev lag luam, kev lag luam, lossis kev lav phib xaub, lossis kev tuav pov hwm hauv chaw ua haujlwm) hauv tus nqi tsis pub tsawg dua $ 100,000 rau ib daim ntawv thov thiab qhov tsawg kawg ib xyoos ib zaug ntawm $ 300,000. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Lub npe thiab chaw nyob ua lag luam, suav nrog tus lej suite yog tias tsim nyog, ntawm tus neeg thov lossis tus neeg muab kev pabcuam hauv daim ntawv thov yuav tsum ua raws nraim li tus neeg tuav pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm.​​ 

  11. Certificate of Professional Liability Insurance nyob rau hauv ib tug npaum li cas ntawm tsis tsawg tshaj li $100,000 ib daim ntawv thov thiab ib tug yam tsawg kawg nkaus txhua xyoo ntawm $300,000. Kev lees paub lees paub yog daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe ntawm cov ntawv pov hwm, hnub siv tau, thiab kev txwv ntawm kev pov hwm. Nco tseg: Tus kws kho mob lub npe, raws li nws tshwm nyob rau hauv California Clinical Laboratory License, yuav tsum tau qhia txog kev txheeb xyuas qhov kev pov hwm kev lav phib xaub.​​ 

  12. Certificate of Workers 'Compensation Insurance yog xav tau los ntawm California txoj cai lij choj, yog tias koj lub lag luam muaj ib lossis ntau tus neeg ua haujlwm. Kev lees paub lees paub yog pov thawj ntawm kev tuav pov hwm tus kheej, lossis daim ntawv pov thawj ntawm kev tuav pov hwm lossis daim ntawv tshaj tawm uas muab los ntawm lub tuam txhab pov hwm uas muaj lub npe ntawm lub tuam txhab pov hwm, lub npe thiab chaw nyob ua lag luam ntawm cov ntawv pov hwm, thiab hnub siv tau. Yog tias tsis muaj kev pov hwm them nyiaj rau Cov Neeg Ua Haujlwm, yuav tsum muaj lus piav qhia. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li cov ntawv pov hwm lub npe thiab chaw nyob ntawm daim ntawv pov thawj ntawm kev pov hwm.​​ 

  13. Kos Npe Daim Ntawv Pom Zoo, yog tias thaj chaw lag luam tsis yog los ntawm tus neeg thov lossis tus muab kev pabcuam. Nco tseg: Lub npe thiab chaw nyob ua lag luam ntawm tus neeg thov lossis tus neeg muab kev pabcuam yuav tsum ua raws nraim li tus neeg xauj tsev lub npe thiab chaw nyob ntawm daim ntawv cog lus xauj tsev.​​ 

  14. Successor Liability with Joint and Several Liability Agreement (DHCS 6217), yog muaj.​​ 

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Txuas mus rau qhov​​  PAB​​  portal.​​ 

Hnub hloov tshiab kawg: 8/28/2023 4:58 PM​​