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Facility Amendment and Notification of Change

Facility Amendment

Operators submit an amendment request when there is

  • a change or addition to laboratory services
  • a change to limits or conditions
  • an extension or renewal of a time-limited approval

Please email your request to labfacilities@phsa.ca.

Notification of Change

A notification of change is required when there is

  • a change in medical directorship and/or laboratory physician staff (facility or regional)
  • a change in operator contact information
  • a change in hours of operation
  • an addition or removal of a bed and/or phlebotomy chair
  • a withdrawal of operational services (categories or tests)
  • a temporary or permanent closure of a laboratory or specimen collection facility
  • an addition or cancellation of a payment number
  • a change in specimen collection station’s receiving and testing laboratory
  • a change in shareholder and/or ownership percentages (< 10% shares)

Supporting Documents

(If the form does not open, right-click the form link above, select ‘save link as’ or ‘save target as’ and save the file prior to editing. If problems persist, please contact labfacilities@phsa.ca.)

Please submit the conflict of interest declaration and notification of change form via the secure upload tool.

SOURCE: Facility Amendment and Notification of Change ( )
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