      ******************************************************************
      *          Report Name: Automatic POS extract for CLIA for quarter 1, 2021
      *
      *        Record Length: 694
      *
      *      Generation Date: Thu Apr 01 21:23:17 EDT 2021
      *
      ******************************************************************

       01  EXTRACT-REC.
           10 PRVDR-CTGRY-SBTYP-CD              PIC X(2).
           10 PRVDR-CTGRY-CD                    PIC X(2).
           10 CHOW-CNT                          PIC 9(2).
           10 CHOW-DT                           PIC X(8).
           10 CITY-NAME                         PIC X(28).
           10 ACPTBL-POC-SW                     PIC X(1).
           10 CMPLNC-STUS-CD                    PIC X(1).
           10 SSA-CNTY-CD                       PIC X(3).
           10 CROSS-REF-PROVIDER-NUMBER         PIC X(10).
           10 CRTFCTN-DT                        PIC X(8).
           10 ELGBLTY-SW                        PIC X(1).
           10 FAC-NAME                          PIC X(50).
           10 INTRMDRY-CARR-CD                  PIC X(5).
           10 MDCD-VNDR-NUM                     PIC X(15).
           10 ORGNL-PRTCPTN-DT                  PIC X(8).
           10 CHOW-PRIOR-DT                     PIC X(8).
           10 INTRMDRY-CARR-PRIOR-CD            PIC X(5).
           10 PRVDR-NUM                         PIC X(10).
           10 RGN-CD                            PIC X(2).
           10 SKLTN-REC-SW                      PIC X(1).
           10 STATE-CD                          PIC X(2).
           10 SSA-STATE-CD                      PIC X(2).
           10 STATE-RGN-CD                      PIC X(3).
           10 ST-ADR                            PIC X(50).
           10 PHNE-NUM                          PIC X(10).
           10 PGM-TRMNTN-CD                     PIC X(2).
           10 TRMNTN-EXPRTN-DT                  PIC X(8).
           10 CRTFCTN-ACTN-TYPE-CD              PIC X(1).
           10 GNRL-CNTL-TYPE-CD                 PIC X(2).
           10 ZIP-CD                            PIC X(5).
           10 FIPS-STATE-CD                     PIC X(2).
           10 FIPS-CNTY-CD                      PIC X(3).
           10 CBSA-URBN-RRL-IND                 PIC X(1).
           10 CBSA-CD                           PIC X(5).
           10 ADDTNL-ST-ADR                     PIC X(50).
           10 AFFILIATED-PROVIDER-NUMBER-1      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-2      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-3      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-4      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-5      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-6      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-7      PIC X(10).
           10 AFFILIATED-PROVIDER-NUMBER-8      PIC X(10).
           10 A2LA-ACRDTD-CD                    PIC X(1).
           10 A2LA-ACRDTD-Y-MATCH-DT            PIC X(8).
           10 A2LA-ACRDTD-Y-MATCH-SW            PIC X(1).
           10 AABB-ACRDTD-CD                    PIC X(1).
           10 AABB-ACRDTD-Y-MATCH-DT            PIC X(8).
           10 AABB-ACRDTD-Y-MATCH-SW            PIC X(1).
           10 AOA-ACRDTD-CD                     PIC X(1).
           10 AOA-ACRDTD-Y-MATCH-DT             PIC X(8).
           10 AOA-ACRDTD-Y-MATCH-SW             PIC X(1).
           10 ASHI-ACRDTD-CD                    PIC X(1).
           10 ASHI-ACRDTD-Y-MATCH-DT            PIC X(8).
           10 ASHI-ACRDTD-Y-MATCH-SW            PIC X(1).
           10 CAP-ACRDTD-CD                     PIC X(1).
           10 CAP-ACRDTD-Y-MATCH-DT             PIC X(8).
           10 CAP-ACRDTD-Y-MATCH-SW             PIC X(1).
           10 COLA-ACRDTD-CD                    PIC X(1).
           10 COLA-ACRDTD-Y-MATCH-DT            PIC X(8).
           10 COLA-ACRDTD-Y-MATCH-SW            PIC X(1).
           10 JCAHO-ACRDTD-CD                   PIC X(1).
           10 JCAHO-ACRDTD-Y-MATCH-DT           PIC X(8).
           10 JCAHO-ACRDTD-Y-MATCH-SW           PIC X(1).
           10 APLCTN-RCVD-DT                    PIC X(8).
           10 APLCTN-TYPE-CD                    PIC X(1).
           10 GNRL-FAC-TYPE-CD                  PIC X(2).
           10 CRTFCT-EFCTV-DT                   PIC X(8).
           10 CRTFCT-MAIL-DT                    PIC X(8).
           10 CRTFCT-TYPE-CD                    PIC X(1).
           10 CURRENT-CLIA-LAB-CLSFCTN-CD       PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-1      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-10     PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-2      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-3      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-4      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-5      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-6      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-7      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-8      PIC X(2).
           10 CLIA-LAB-CLASSIFICATION-CD-9      PIC X(2).
           10 CLIA-MDCR-NUM                     PIC X(12).
           10 CLIA-TRMNTN-CD                    PIC X(2).
           10 ACRDTN-SCHDL-CD                   PIC X(1).
           10 FORM-116-ACRDTD-TEST-VOL-CNT      PIC 9(13).
           10 FORM-116-TEST-VOL-CNT             PIC 9(13).
           10 DRCTLY-AFLTD-LAB-CNT              PIC 9(3).
           10 FAX-PHNE-NUM                      PIC X(10).
           10 FY-END-MO-DAY-CD                  PIC X(4).
           10 MLT-SITE-EXCPTN-SW                PIC X(1).
           10 HOSP-LAB-EXCPTN-SW                PIC X(1).
           10 NON-PRFT-EXCPTN-SW                PIC X(1).
           10 LAB-TEMP-TSTG-SITE-SW             PIC X(1).
           10 LAB-SITE-CNT                      PIC 9(4).
           10 PPMP-TEST-VOL-CNT                 PIC 9(13).
           10 ADDTNL-FAC-NAME                   PIC X(50).
           10 RELATED-PROVIDER-NUMBER           PIC X(10).
           10 SHR-LAB-SW                        PIC X(1).
           10 SHARED-LAB-XREF-NUMBER            PIC X(10).
           10 FORM-1557-CRTFCT-SCHDL-CD         PIC X(1).
           10 FORM-1557-CMPLNC-SCHDL-CD         PIC X(1).
           10 FORM-1557-TEST-VOL-CNT            PIC 9(13).
           10 WVD-TEST-VOL-CNT                  PIC 9(13).
