2aa5afcb_anges_to_your_CLIA_Certificate__WHAT_FORM_DO_I_USE_
[I NEED TO:] Reactivate a terminated CLIA certificate (terminated less than six months) [ANYTHING ELSE?] No [WHAT FORM DO I USE?] 
There is no reactivation form; payment instructions can be found on this website under the FAQs tab
Illinois CLIA - Making Changes to your CLIA Certificate
WHAT FORM DO I USE?