California
Statewide
Department Of Health And Human Services
Regulated Laboratories
Last updated: 6/24/2024
Laboratory Personnel Report {LA 116}
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Description
LAB 116 - LABORATORY PERSONNEL REPORT. This form is used to document information about all testing personnel, laboratory directors, co-laboratory directors, and other staff involved in laboratory operations. It includes fields for employee names, positions held, license or certification numbers, and areas of expertise such as microbiology, immunology, chemistry, hematology, cytology, pathology, and more. The form also requires certification by the laboratory director that all listed individuals meet the necessary legal requirements. Additional pages can be attached if needed. www.FormsWorkflow.com
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