2aa5afcb_anges_to_your_CLIA_Certificate__WHAT_FORM_DO_I_USE_
[I NEED TO:] Change the name of our facility (our tax ID will also change) [ANYTHING ELSE?] If there will be a lab director change with the change in ownership, a letter of release from the previous owner or lab director, releasing the CLIA number to the new owner, is required [WHAT FORM DO I USE?] 
CMS-116 for the new business entity Disclosure or Change of Ownership Form for the new business entity
Illinois CLIA - Making Changes to your CLIA Certificate
WHAT FORM DO I USE?