Manager, Laboratory Licensure Unit
Bureau of Health Facility Regulation
2727 Mahan Drive - Mail Stop #32
Tallahassee, FL 32308
Florida Relay Service (TDD): (800) 955-8771
Fax: (850) 410-1511
Download the Agency's protocol for State Agency Journal Transfer [51KB, PDF].
The Agency is unable to accept applications submitted by another state agency that are not accompanied with a copy of the CNPPPJT2 [30KB, PDF] from the State's FLAIR Accounting System. Any application that is not submitted with a copy of the CNPPPJT2 will be returned to the applicant.
The Agency cannot accept journal tranfers, checks or money order for payment of federal CLIA fees. All CLIA fee payments must be submitted directly to CMS CLIA Program, Post Office Box 70948, Charlotte, North Carolina 28272-0948. All payments must be made by check or money order and made payable to the CMS CLIA program.