File a Complaint about a Laboratory

If you have a concern about a Clinical Laboratory's operation or compliance, please fill out the form below. You may request to remain anonymous. Please note: anonymous submissions cannot be followed up on if more information is required concerning your complaint or concern.

 
 
 

Laboratory's Street Address

City, Zip

 
 
 
 
 
Phone
 
 

Please be as descriptive as possible regarding your complaint. Include dates of service or contact, and specific information related to your concerns.

 
 

Attach any documents to help substantiate your complaint here. Please do not upload any Private Health Information (PHI), or Personally Identifying Information (PII)

Drop your files here
 

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