clia contact list - Amcon Labs - The Eyecare Supply Center

STATE SURVEY AGENCIES (CLIA CONTACT LIST)ALABAMA DEPARTMENT OF PUBLIC HEALTHDivision of Health Care FacilitiesCLIA ProgramP.O. Box 303017Montgomery, AL 36130-3017(334) 206-5120Contact: Brenda FurlowE-mail: bfurlow@adph.state.al.usDEPARTMENT OF PUBLIC HEALTH619 East Ship Creek Avenue, Suite 232Anchorage, AK 99501(907) 334-2491FAX: (907) 561-3011Contact: Diana ParksE-mail: diana_parks@health.state.ak.usARIZONA DEPARTMENT OF HEALTH SERVICES STATE LABORATORYOffice of Laboratory Services250 N. 17TH AvenuePhoenix, AZ 85007-3231(602) 364-0726FAX: (602) 364-0759Contact: Denise NovosadE-mail: NOVOSAD@azdhs.govHEALTH FACILITY SERVICES Slot H9Arkansas Department of Health and Human ServicesP.O. Box 1437Little Rock, AR 72203-1437(501) 661-2201Contact: Laura MoodyCALIFORNIA DEPARTMENT OF HEALTH SERVICESLaboratory Field ServicesDivision of Laboratory Science320 West 4th Street, Suite 890Los Angeles, CA 90013(213) 620-6160FAX: (213) 620-6565Contact: Donna McCallum, Examiner IIICOLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENTLaboratory Services Division8100 Lowry Blvd.Denver, CO 80230-6928(303) 692-3681FAX: (303) 344-9965Contact: Jeff GroffE-mail: Jeff.Groff@state.co.us

CLIA LABORATORY PROGRAMDepartment of Public HealthP.O. Box 340308410 Capitol Avenue, MS#12 HSRHartford, CT 06134-0308(860) 509-7400FAX: (860) 509-7535Contact: John J. MurphyDELAWARE STATE PUBLIC HEALTH LABORATORYDonna Phillips-DiMaria30 Sunnyside RoadSmyrna, DE 19977(302) 223-1392Contact: Donna Phillips-DiMariaE-mail: Donna.phillips-dimar@state.de.usDC DEPARTMENT OF HEALTHHealth Care Regulation and Licensing Administration825 N. Capitol Street NE, 2nd FloorWashington, DC 20002(202) 442-4706Contact: Semret TesfayeSTATE OF FLORIDAAgency for Health Care AdministrationLaboratory Licensing Unit2727 Mahan Drive, Mail Stop 32Tallahassee, FL 32308(850) 487-3109FAX: (850) 410-1511Contact: Pat JamesE-mail: jamesp@fdhc.state.fl.usGEORGIA DEPARTMENT OF HUMAN RESOURCESOffice of Regulatory ServicesDiagnostic Service Unit2 Peachtree Street, N.W. 33-250Atlanta, GA 30303-3142(404) 657-5558Contact: Theresia SnellingE-mail: tmsnelling@dhr.state.ga.us***********************************************************FOR LABS IN GUAM, AMERICAN SAMOA OR SAIPAN CONTACT THEHAWAII State Agency.***********************************************************

HAWAII DEPARTMENT OF HEALTHCLIA Program601 Kamokila Boulevard, Room 395Kapolei, HI 96707(808) 692-7420FAX: (808) 692-7447Contact: Susan O. NakaLABORATORY IMPROVEMENT SECTIONBureau of Laboratories2220 Old Penitentiary RoadBoise, ID 83712-8299(208) 334-2235 x245FAX: (208) 334-2382Contact: David EisentragerE-mail: eisentra@dhw.idaho.govILLINOIS DEPARTMENT OF PUBLIC HEALTHDivision of Health Care Facilities & Programs525 W. Jefferson StreetFourth FloorSpringfield, IL 62761Phone: 217-782-6747FAX: 217-782-0382Contact: William GarrettE-mail: william.garrett@illinois.govINDIANA STATE DEPARTMENT OF HEALTHDivision of Acute Care Services2 North Meridian Street, Room 4AIndianapolis, IN 46204(317) 233-7502FAX: (317) 233-7157Contact: Wanda ProffittE-mail: wproffit@isdh.in.govUNIVERSITY OF IOWA HYGIENIC LABORATORYIowa CLIA Laboratory Program102 Oakdale Campus, H101 OHIowa City, IA 52242(319) 335-4500Contact: Nancy GroveKANSAS DEPARTMENT OF HEALTH & ENVIRONMENTLaboratory CertificationBuilding 740Forbes FieldTopeka, KS 66620-0001(785) 296-3811Contact: Ruby Brower

Kim HawkinsCompliance AnalystOffice of Inspector GeneralP. O. Box 122502250 Leestown RoadLexington, KY 40511(859) 246-2301Contact: Kim HawkinsE-mail: kim.hawkins@ky.govDEPARTMENT OF HEALTH & HOSPITALSHealth Standards Section500 Laurel Street, Suite 100Baton Rouge, LA 70821(225) 342-9324Contact: Staci GlueckCLIA PROGRAMDivision of Licensing & Regulatory Services41 Anthony Avenue, Station #11Augusta, ME 04333-0011(207) 287-9339FAX: (207) 287-9304Contact: Margaret NaasMARYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENEOffice of Health Care Quality - LabsBland Bryant BuildingSpring Grove Hospital Center55 Wade AvenueCatonsville, MD 21228(410) 402-8025Contact: Kathleen SteedDIVISION OF HEALTH CARE QUALITYClinical Laboratory Program99 Chauncy Street, 3rd floorBoston, MA 02111(617) 753-8438 or 8439FAX: (617) 753-8240Contact: Roberta TeixeiraMICHIGAN DEPARTMENT OF COMMUNITY HEALTHLaboratory Improvement SectionP.O. Box 30664611 W. Ottawa Street, First FloorLansing, MI 48909Phone: (517) 241-0821FAX: (517) 241-3354Contact: Pamela DieboltE-mail: pjdiebo@michigan.gov

MINNESOTA DEPARTMENT OF HEALTHLicensing and CertificationCLIA Program85 E. 7th PlaceP.O. Box 64900St. Paul, MN 55164-0900Phone: (651) 201-4120Fax: (651) 215-9697Contacts: Roxanne BeyerE-mail: roxanne.beyer@state.mn.usLICENSURE AND CERTIFICATIONMississippi Department of Public HealthP.O. Box 1700Jackson, MS 39215-1700(601) 364-1115Contact: Theresa IrwinE-mail: theresa.irwin@msdh.state.ms.usMISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICESCLIA SectionPO Box 570Jefferson City, MO 65102(573) 751-6318Contact: William NugentCLIA PROGRAMDivision of Quality AssuranceDepartment of Public Health & Human Services2401 Colonial Drive, 2nd FloorPO Box 202953Helena, MT 59620-2953(406) 444-1451FAX: (406) 444-3456Contact: Ed AdamsE-mail: eadams@mt.govNEBRASKA STATE HEALTH & HUMAN SERVICESRegulations and LicensureCredentialing DivisionPO Box 94986Lincoln, NE 68509-4986(402) 471-4363Contact: Joann EricksonNEVADA STATE HEALTH DIVISIONBureau of Lic. and Certification1550 E. College Parkway, #158Carson City, NV 89706(775) 687-4475FAX: (775) 687-6588Contact: Vickie Estes, MT(ASCP)

HEALTH FACILITIES ADMINISTRATIONDepartment of Health & Human Services129 Pleasant StreetConcord, NH 03301(603) 271-4832FAX: (603) 271-4968Contact: Rodney BascomCLINICAL LABORATORY IMPROVEMENT SERVICEState of New JerseyDepartment of Health & Senior ServicesP.O. Box 361Trenton, NJ 08625-0361(609) 292-0016FAX: (609) 292-9285Contact: Alicia WalnDivision of Health ImprovementHealth Facility Licensing & Certification BureauCLIA Program2040 S. Pacheo Street, 2 nd Floor, Room 413Santa Fe, NM 87505(505) 841-4524FAX: (505) 841-5834Contact: Julie AragonFor Physician Office Laboratories in New York:STATE OF NEW YORK DEPARTMENT OF HEALTHPhysician Office Laboratory Evaluation ProgramEmpire State PlazaP.O. Box 509Albany, NY 12201-0509(518) 485-5352Contacts: Thomas HeckertFor All Other Laboratory Facility Types in New York:CLINICAL LABORATORY EVALUATION PROGRAMEmpire State PlazaP.O. BOX 509Albany, NY 12201-0509(518) 485-5378Contact: Deirdre AstinNORTH CAROLINA DEPARTMENT OF HEALTH and HUMAN SERVICESDivision of Facility Services/CLIA Certification2713 Mail Service CenterRaleigh, NC 27699-2713(919) 855-4620FAX: (919) 733-0176Contact: Azzie ConleyE-mail: azzie.conley@NCmail.net

HEALTH RESOURCES SECTIONNorth Dakota Department of HealthState Capital600 East Boulevard Avenue/Dept 301Bismarck, ND 58505-0200(701) 328-2352FAX: (701) 328-1890Contact: Bridget WeidnerE-mail: bweidner@nd.govOHIO DEPARTMENT OF HEALTHLaboratory Certification ProgramP.O. Box 118246 N. High Street, 2nd FloorColumbus, OH 43216-0118(614) 644-1845FAX: (614) 728-9169Contact: Lucille RaabeE-mail: Lucille.Raabe@odh.ohio.govOKLAHOMA STATE DEPARTMENT OF HEALTHProtective Health ServicesMedical Facilities1000 NE 10TH StreetOklahoma City, OK 73117-1299(405) 271-6576Contact: Dean BayInternet: www.medicalfacilities@health.state.ok.usOREGON STATE PUBLIC HEALTH LABORATORYLaboratory Compliance and Quality AssuranceP.O. Box 275Portland, OR 97207(503) 229-5853FAX: (503) 229-5682Contact: Rita ScheuE-mail: rita.a.scheu@state.or.usPENNSYLVANIA DEPARTMENT OF HEALTHBureau of Laboratories110 Pickering WayLionville, PA 19353(610) 280-3464Contact: Clerical Support SectionInternet: www.health.state.pa.us/labs

COMMONWEALTH OF PUERTO RICOPuerto Rico Health DepartmentOffice of Certification & LicensureFormer-Ruiz Soler HospitalRoad No. 2Bayamon, PR 00619(787) 782-0120 Ext. 2214Contact: Ricardo SantiagoDIVISION OF FACILITIES REGULATIONDepartment of Health3 Capitol HillProvidence, RI 02908(401) 222-4526FAX: (401) 222-3999Contact: Nancy HinesSOUTH CAROLINA DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROLBureau of Health Licensure & Certification2600 Bull StreetColumbia, SC 29201(803) 545-4329FAX (803) 545-4563Contact: Mary WhiteE-mail: whitem1@dhec.sc.govSOUTH DAKOTA DEPARTMENT OF HEALTHHealth Care Facilities Licensure615 E 4TH StreetPierre, SD 57501-1700(605) 773-3694FAX: (605) 773-6667Contact: Connie RichardsE-mail: Connie.Richards@state.sd.usTENNESSEE HEALTH CARE FACILITIES227 French Landing, Suite 501Heritage Place Metro CenterNashville, TN 37243(615) 741-7023FAX: (615) 532-2700Contact: Sandra BogardE-mail: Sandra.Bogard@state.tn.usHEALTH FACILITY COMPLIANCE DIVISIONPatient Quality Care UnitTexas Department of State Health Services1100 West 49th StreetAustin, TX 78756-3199(512) 834-6792Internet: www.dshs.state.tx.us

UTAH DEPARTMENT OF HEALTHBureau of Laboratory Improvement46 North Medical DriveSalt Lake City, UT 84113-1105(801) 584-8471FAX: (801) 584-8501Contact: Rebecca ChristiansenE-mail: rchristiansen@utah.gov***********************************************************LABORATORIES LOCATED IN THE VIRGIN ISLANDS SHOULD CONTACT THENEW YORK REGIONAL OFFICE.***********************************************************VIRGINIA DEPARTMENT OF HEALTHOffice of Licensure and Certification3600 W Broad Street, Suite 216Richmond, VA 23230(804) 367-2107FAX: (804) 367-2524Contact: Sarah PendergrassCLIA LABORATORY PROGRAMVermont Department of Health108 Cherry StreetBurlington VT 05401(802) 652-4145FAX: (802) 865-7701Contact: Carol DrawbaughOFFICE OF LABORATORY QUALITY ASSURANCEDepartment of Health1610 NE 150TH StreetShoreline, WA 98155-9701(206) 418-5418FAX: (206) 418-5505Contact: Susan WalkerE-mail: susan.walker@doh.wa.govWEST VIRGINIA DEPARTMENT OF HEALTHOffice of Laboratory Services167 11TH AvenueSouth Charleston, WV 25303-1137(304) 558-3530, Extension 2103FAX: (304) 558-2006Contact: Jerry GrossE-mail: jerrygross@wvdhhr.org

DEPARTMENT OF HEALTH & FAMILY SERVICESDivision of Quality AssuranceClinical Laboratory Section1 W. Wilson Street, Room 1151Madison, WI 53703Phone: 608-261-0653Fax: 608-264-9847Contact: Sharon AbrahamE-mail: abrahsa@dhfs.state.wi.usOFFICE OF HEALTHCARE LICENSING AND SURVEYS8th Floor - 2020 Carey AvenueCheyenne WY 82002Contact: Russ ForneyPhone: 307-777-7123FAX: 307-777-7127E-mail: rforne@state.wy.us