San Bernardino header
File #: 6507   
Type: Consent Status: Passed
File created: 7/22/2022 Department: Behavioral Health
On agenda: 7/26/2022 Final action: 7/26/2022
Subject: Clinical Laboratory Improvement Amendments Application for Certification and Attestations for Clinic Licensing
Attachments: 1. Item #18 Executed BAI, 2. Delegated Authority CLIA Waiver Authorization Apple Valley CA, 3. Delegated Authority CLIA Waiver Authorization Phoenix Community Counseling Center, 4. Delegated Authority CLIA Waiver Authorization Barstow Counseling and Behavioral Health Center, 5. Delegated Authority CLIA Waiver Authorization Rialto Behavioral Addiction Treatment Services Center
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

July 26, 2022

FROM
GEORGINA YOSHIOKA, Interim Director, Department of Behavioral Health

SUBJECT
Title
Clinical Laboratory Improvement Amendments Application for Certification and Attestations for Clinic Licensing
End

RECOMMENDATION(S)
Recommendation
1. Authorize the submission of the Department of Health and Human Services Centers for Medicare and Medicaid Services' Clinical Laboratory Improvement Amendments Application for Certification, and the California Department of Public Health's Owner's Attestation and Director's Attestation as required for new applications or renewal of existing applications for the Clinical and Public Health Laboratory License to the California Department of Public Health.
2. Authorize the Chief Executive Officer to act as the Authorized Representative and execute the Department of Health and Human Services Centers for Medicare and Medicaid Services' Clinical Laboratory Improvement Amendments Application for Certification, and the California Department of Public Health's Owner's Attestation for the Clinical and Public Health Laboratory License to the California Department of Public Health, on behalf of the County, subject to review by County Counsel.
3. Authorize the Addiction Medicine Physician, as the Laboratory Medical Director of the Department of Behavioral Health, in the capacity of laboratory director, to execute the Department of Health and Human Services Centers for Medicare and Medicaid Services' Clinical Laboratory Improvement Amendments Application for Certification, and the California Department of Public Health's Director's Attestation for the Clinical and Public Health Laboratory License to the California Department of Public Health, on behalf of the County, subject to review by County Counsel.
4. Authorize the Assistant Executive Officer of Department Operations, Deputy Executive Officer of Human Servi...

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