2aa5afcb_anges_to_your_CLIA_Certificate__WHAT_FORM_DO_I_USE_
[I NEED TO:] Change the name of our lab director [ANYTHING ELSE?] Qualifying documentation of the new director is required for Certificates of PPMP, Compliance, and Accreditation; personnel qualifications can be found on this website under the Application and Information tab [WHAT FORM DO I USE?] 
Name-Address-Director Change Form (the new lab director must sign the form, or the request will not be processed)
Illinois CLIA - Making Changes to your CLIA Certificate
WHAT FORM DO I USE?