LABORATORY FIELD SERVICES

New Single Site License (User Manual)

step 16 Enter the Laboratory Director information. Complete all the required fields, then click Add.

Add Laboratory Personnel Information pop up showing form fields for Personnel Information, Role, and License Information

step 17 Add another laboratory personnel -OR- you may upload a completed LAB 116.pdf form for review. Click Next.

Laboratory Personnel main page showing LAB 116 was uploaded

step 18 Click Next to continue the license application.

Next button to continue with the license application.

License Application Process

step 19 Select the site you added to include in the application. Click Next.

Site Association page to select all sites to be included in this application.

step 20 If you need to make changes to the business information, click Edit. Otherwise, scroll down and click Next.

Business information showing all business information, Edit button, and Next button.

step 21 If you need to make changes to the testing site information, click Edit. Otherwise, scroll down and click Next.

Testing Site information showing all site information, Edit button, and arrow pointing down to scroll down to click Next

step 22 Read to know the required forms, then upload on this page. You may also upload CMS 116.pdf form and other additional documents for review on this page. Click Next.

Upload documents page showing required forms uploaded.

step 23 Review the Application Summary. Click the Back button if you need to make changes, otherwise, click Next.

Application Summary page showing Annual Test Volume and Payment Information.

step 24 Read and accept the Application Attestation. After this page, you won’t be able to click the Back button to make changes:

​A.
 ​ Sign Attestation.
​B.
 ​Click Accept.
​C.
 ​Click Submit.

Application Attestation to write your signature.

step 25 Click the Shopping Cart to finalize your transaction.

Page showing the Shopping Cart button to finalize your transaction.

step 26 If you have multiple items in your shopping cart,  select the items you want to include in your payment.

​A.
 Select items to be paid.
​B.
 ​Click Proceed to Checkout.

Shopping Cart page to select items to be included in the payment.

step 27 You may pay by Credit Card or Bank Account.

Checkout page showing Payment Methods.

step 28 Enter all the required information.

​A.
 ​Read and agree the authorization clause by checking the box.
​B.
 ​Click Submit to submit your application for review.

Checkout page showing Credit Card information, address, and payment authorization checkbox.

step 29 Your application is now in queue for review. Check the status on your Welcome Screen.

Welcome Screen showing the status of the application.

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