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Page 1: i~,~~~~~~?>~?>~>it1~·' · i~,~~~~~?>~?>~>it1~·' t clinical laboratory improvement amendments • certificate of accreditation ~ laboratory name and address cua id number ~ johns

i~,~~~~~~?>~?>~>it1~·' t CLINICAL LABORATORY IMPROVEMENT AMENDMENTS •

CERTIFICATE OF ACCREDITATION

~ LABORATORY NAME AND ADDRESS CUA ID NUMBER ~ JOHNS HOPKINS GENOMICS 21 D0692357 t

1812 ASHLAND AVE SUITE 200 ~ BALTIMORE, MD 21205-0001 EFFECTIVE DATE ~

08/08/2017

LABORATORY DIRECTOR EXPIRATION DATE

CHRISTOPHER D GOCKE M.D. 08/07/2019

Pursuant to Section 353 of the Public Health Services Act (42 U.S.C. 263a) as revised by the Clinical Laboratory Improvement Amendments (CUA),

~'I' the above named laboratory located at the address shown hereon (and other approved locations) may accept human specimens ~'I'

.. y J for the purposes of perfonning laboratory examinations or procedures. .. y J This certificate shall be valid until the expiration date above, but is subject to revocation, suspension, limitation, or other sanctions

for violation of the Act or the regulations promulgated thereunder. t

~ .~ ~ :5.":~!1;D"~· ~. 'J CM S Division of Laboratory Services Survey and Certification Group

CENTERS FOR MEDICARE & MEDICAID SERVICES

60 Certs2_071117

If you currently hold a Certificate of Compliance or Certificate of Accreditation, below is a list of the laboratory specialties/subspecialties you are certified to perform and their effective date:

LAB CERTIFICATION (CODE) HISTOCOMPATIBILTY (010)

ROUTINE CHEMISTRY (310)

CYTOGENETICS (900)

EFFECTIVE DATE 10/10/2016

08/08/1997

08/11/2016

LAB CERTIFICATION (CODE) EFFECTIVE DATE

FOR MORE INFORMATION ABOUT CUA, VISIT OUR WEBSITE AT WWW.CMS.GOV/CUA OR CONTACT YOUR LOCAL STATE AGENCY. PLEASE SEE THE REVERSE FOR

YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER. PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICATE.

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