Application: Contents. An application for a license must be made under oath on a form prescribed by the Health Division and must contain the following information:
1. The name and location of the laboratory;
2. The name of the laboratory director;
3. The name of the owner or owners of the laboratory or, if a corporation, the names of the officers, directors and beneficial owners of 10 percent or more of its shares;
4. A description of the program and services provided by the laboratory; and
5. Such other information as the Health Division may deem necessary or expedient to carry out its powers and duties under this chapter.
Last modified: February 27, 2006