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	CLIA Waiver	Practice Standards	Reporting	Reimbursement

Individual practitioners or group private practices that conduct in-house laboratory testing on their own patients

1 Obtain a CLIA Certificate of Waiver

• Download application form
  Mail or fax completed applications to:
  Physician Office Laboratory Evaluation Program
  New York State Department of Health
  Wadsworth Center
  P.O. Box 509
  Albany, NY 12201-0509
  Fax: (518) 485-5355

To purchase a LeadCare II system, call (800) 305.0197