× The federal government has shut down due to the failures of the President and Congress to continue government funding. Millions of Californians receiving benefits from state programs may be impacted. For now, California’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) will continue to provide services and enroll eligible families as long as funding is available. No new federal funding to California WIC will be provided until the President and Congress take action. Families should continue to use their WIC benefits and attend their WIC appointments. This information is subject to change, so please monitor the California WIC website for updates.

Please be wary of potential highly partisan political messaging while visiting federal government websites for information related to the federal government shutdown.

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Laboratory field services

Laboratory Field Services Forms

 

LAB 114 (pdf) - Biologics License Application

LAB 116 (pdf) - Laboratory Personnel Report

LAB 116 OS (pdf) - Laboratory Personnel Report,  Out-of-State Laboratory

LAB 118 (pdf) - Blood Bank Personnel Report

LAB 139 (pdf) - Application for Approval to Keep and Use Laboratory Animals

LAB 140 (pdf) - COVID 19 Temporary Testing Site Application

LAB 144 (pdf) - Application for Initial Clinical Laboratory License

LAB 144 A (pdf) - Laboratory Testing Declaration

LAB 144 B (pdf) - Application for Additional Clinical Laboratory Testing Sites-Form B

LAB 144 OS (pdf) - Clinical Laboratory License Application for Laboratories Located In States Other Than California

LAB 144 R (pdf) - Application for Renewal Clinical Laboratory License

LAB 155 (pdf) - Application for Initial Clinical Laboratory Registration

LAB 155 R (pdf) - Application for Renewal Clinical Laboratory Registration

LAB 158 (pdf) - Continuing Education Waiver Request

LAB 163 (pdf) - Complaint Information

LAB 167 (pdf) - Annual Test Volume of Test Performed

LAB 167 OS (pdf) - Annual Test Volume of California Specimens, Out-of-State Laboratory

LAB 168 OS (pdf) - Laboratory Personnel Qualification

LAB 169 (pdf) - Tissue Bank Personnel Report

LAB 170 (pdf) - Assisted Reproductive Technology (ART) Questionnaire

LAB 171 (pdf) - Tissue Bank License Renewal Application

LAB 172 (pdf) - Tissue Bank License New Application

LAB 175 (pdf) - Application for Renewal of License for the Production of Biologics

LAB 176 (pdf) - Application for Duplicate License

LAB 178 (pdf) - Application for Continuing Education Accrediting Agency

LAB 182 (pdf) - Owner's Attestation

LAB 183 (pdf) - Director's Attestation

LAB 184 (pdf) - Tissue Bank Contact Person Date Sheet

LAB 192 (pdf) - Request for Laboratory Testing Sites and/or Personnel List

LAB 193 (pdf) - Notification of Laboratory Change

LAB 1513 (pdf) - Disclosure of Ownership and Control Interest Statement

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