California
Statewide
Department Of Health And Human Services
Regulated Laboratories
Last updated: 5/30/2015
Disclosure Of Ownership And Control Interest Statement {LAB 1513}
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Description
LAB 1513, DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT, List names, addresses for individuals, or the EIN for organizations having direct or indirect ownership or a controlling interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names and addresses under “Remarks” on page 2. If more than one individual is reported and any of these persons are related to each other, this must be reported under “Remarks.” www.FormsWorkflow.com
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