× 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.

Home
Programs
Office of the State Public Health Laboratory Director
Laboratory Field Services
ELLFS - Renew Single Site Application

LABORATORY FIELD SERVICES

Renew a Single Site License (User Manual)

Summary of Procedure

Update Business
1. Business Information, Mailing Address
2. Contact Information
3. Ownership
Update Testing Site
1. Site Information, Physical Location Address
2. Tests Performed
3. Laboratory Director
Associate Sites
Upload Documents
Application Summary
Application Attestation
Payment

Forms Required

For sites renewing with or without changes, prepare and upload the following forms in your online application:

For Non-waived sites:

LAB 144A.pdf or select tests in online application
LAB 116.pdf
LAB 183.pdf
LAB 182.pdf
CMS 116.pdf (required if there are changes)

For Waived sites:

LAB 183.pdf
LAB 182.pdf
CMS 116.pdf (required if there are changes)

step 1 Click the Continue button on the appropriate license State ID you are renewing. If you don't see a Continue button, please contact us and include your State ID.

Business dashaboard showing Continue button to renew license

step 2 Review the current Business and Site Information. Click Continue.

Site Overview showing Business and Site Information summary and the Continue button.

step 3 Click Start Renewal.

Renewal Information and Start Renewal button to begin renewal.

Update Business

step 4 Click Edit to update the Business Information.

Business Information page showing the Edit button.

step 5 Review or update Business Information. Click Next.

Update Business Information page showing form fields to update business information.

step 6 Review or Edit Mailing Address. Click Next.

Showing the Mailing address, Edit button, Back, and Next buttons.

step 7 Review or update Contact Information. Click Next.

Contact information form fields, including email and phone.

step 8 Review Ownership Information: Complete the required fields on each record as required by the selected Role. Click Submit to finish updating the Business Information.

To edit: click the Edit icon .
To add: click Add.
To remove or disassociate, click the Trash Bin icon.

Ownership Information main page showing owners, Edit icons, Trash bin icons

step 9 Click Continue Application.

Confirmation that business information has been updated successfully.

step 10 Review and scroll down. Click the Next button.

Business Information page showing arrow down to scroll down to click Next

Update Testing Site

step 11 Click Edit to update the Site Information.

Testing Site information showing Edit button

step 12 Review and update the information if necessary and click Next.

Site information page showing form fields for Site Details, Contact, etc.

Page Last Updated :