       *********************************************
       *                                           *
       *           A T T E N T I O N               *
       *                                           *
       *   THESE POS RECORD SPECIFICATIONS WERE    *
       *   PRODUCED FROM OUR DICTIONARY AT THE     *
       *   SAME TIME AS THE POS DATA FILE THAT     *
       *   YOU REQUESTED. YOU MAY WISH TO CHECK    *


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 2
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

       *   THESE SPECIFICATIONS TO SEE IF ANY      *
       *   CHANGES HAVE OCCURED SINCE YOUR RECEIPT *
       *   OF ANY PRIOR DOCUMENTATION.             *
       *                                           *
       *   FILE CREATION DATE = 01/04/2016         *
       *                                           *
       *********************************************
 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 2
   Provider Category Subtype Code                    2    1     2    VARCHAR2
     Description: Identifies the subtype of the provider, within the
                  primary category.  Used in reporting to show the
                  breakdown of provider categories, mainly for hospitals
                  and SNFs.
     SAS Name:    PRVDR_CTGRY_SBTYP_CD
     COBOL Name:  PRVDR-CTGRY-SBTYP-CD
     VALUES:      01=CLIA88 Laboratory

   Provider Category Code                            2    3     4    VARCHAR2
     Description: Identifies the type of provider participating in the
                  Medicare/Medicaid program.
     SAS Name:    PRVDR_CTGRY_CD
     COBOL Name:  PRVDR-CTGRY-CD
     VALUES:      22=CLIA Laboratory

   CHOW Count                                        2    5     6    NUMBER
     Description: Number of times this provider has undergone a change of
                  ownership.
     SAS Name:    CHOW_CNT
     COBOL Name:  CHOW-CNT

   CHOW Date                                         8    7     14   DATE
     Description: Effective date of the most recent change of ownership for
                  this provider.
     SAS Name:    CHOW_DT
     COBOL Name:  CHOW-DT

   Address: City                                     28   15    42   VARCHAR2
     Description: City in which the provider is physically located.
     SAS Name:    CITY_NAME
     COBOL Name:  CITY-NAME

   Compliance: Acceptable POC                        1    43    43   VARCHAR2
     Description: Indicates if a provider is in compliance with program
                  requirements based on an acceptable plan for correction
                  of deficiencies.
     SAS Name:    ACPTBL_POC_SW
     COBOL Name:  ACPTBL-POC-SW

   Compliance: Status                                1    44    44   VARCHAR2
     Description: Compliance status of a provider at the time of
                  certification survey.
     SAS Name:    CMPLNC_STUS_CD
     COBOL Name:  CMPLNC-STUS-CD
     VALUES:      A=IN COMPLIANCE
                  B=NOT IN COMPLIANCE

   SSA County Code                                   3    45    47   VARCHAR2
     Description: Social Security Administration geographic code indicating
                  the county where the provider is located.
     SAS Name:    SSA_CNTY_CD
     COBOL Name:  SSA-CNTY-CD

   Cross Ref Provider Number                         10   48    57   CHAR
     Description: Cross reference provider number
     SAS Name:    CROSS_REF_PROVIDER_NUMBER


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 3
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  CROSS-REF-PROVIDER-NUMBER

   Certification Date                                8    58    65   DATE
     Description: Equal to the exit date of the initial visit of the Health
                  survey for certifications completed after July 28, 2012.
                  For certifications prior to that date, the certification
                  date is equal to the exit date of the initial visit of
                  the Health survey or LSC survey, whichever is later.
     SAS Name:    CRTFCTN_DT
     COBOL Name:  CRTFCTN-DT

   Eligibility Indicator                             1    66    66   VARCHAR2
     Description: Indicates if a facility is eligible to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    ELGBLTY_SW
     COBOL Name:  ELGBLTY-SW

   Facility Name                                     50   67    116  VARCHAR2
     Description: Name of the provider certified to participate in the
                  Medicare and/or Medicaid programs.
     SAS Name:    FAC_NAME
     COBOL Name:  FAC-NAME

   Medicare Administrative Contractor (MAC) or       5    117   121  VARCHAR2
   Intermediary or Carrier Code
     Description: Number assigned to the Medicare Administrative
                  Contractor, intermediary or carrier servicing this
                  provider.
     SAS Name:    INTRMDRY_CARR_CD
     COBOL Name:  INTRMDRY-CARR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00233=PINNACLE
                  00241=BLUE CROSS (MISSOURI)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)
                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 4
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00325=NORIDIAN
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00456=NATIONAL GOVERNMENT SERVICES
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00512=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00821=NORIDIAN
                  00824=NORIDIAN GVT SERVICES (CO)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)
                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00884=PALMETTO GBA


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 5
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00904=TRAILBLAZER
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01111=Noridian (CA)
                  01112=Noridian (NF)
                  01120=AETNA (HAWAII)
                  01182=Noridian (SF)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01211=Noridian (AS, GU, HI)
                  01212=Noridian (AS, GU, HI)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01311=Noridian (NV)
                  01312=Noridian (NV)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  01901=PALMETTO GBA
                  01902=PALMETTO GBA
                  01911=Noridian (AS, GU, HI, NV)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=Noridian AK
                  02102=Noridian AK
                  02201=Noridian ID
                  02202=Noridian ID
                  02301=Noridian OR
                  02302=Noridian OR
                  02401=Noridian WA
                  02402=Noridian WA
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)
                  04001=TRAILBLAZER
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 6
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04111=NOVITAS (COLORADO)
                  04112=NOVITAS (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04211=NOVITAS (NEW MEXICO)
                  04212=NOVITAS (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04311=NOVITAS (OKLAHOMA)
                  04312=NOVITAS (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04411=NOVITAS (TEXAS)
                  04412=NOVITAS (TEXAS)
                  04901=MUTUAL LEGACY
                  04911=NOVITAS
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  05901=WISCONSIN PHYSICIANS SERVICE
                  06001=NGS (WI)
                  06004=National Govt Serv HHH
                  06101=NGS (IL)
                  06102=NGS (IL)
                  06201=NGS (MN)
                  06202=NGS (MN)
                  06301=NGS (WI)
                  06302=NGS (WI)
                  07101=Novitas AR
                  07102=Novitas AR
                  07201=Novitas LA
                  07202=Novitas LA
                  07301=Novitas MS
                  07302=Novitas MS
                  08101=WPS IN
                  08102=WPS IN
                  08201=WPS MI
                  08202=WPS MI
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)
                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 7
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=Novitas DE
                  12102=Novitas DE
                  12201=Novitas DC
                  12202=Novitas DC
                  12301=Novitas MD
                  12302=Novitas MD
                  12401=Novitas NJ
                  12402=Novitas NJ
                  12501=Novitas PA
                  12502=Novitas PA
                  12901=Novitas Solutions DC, DE, MD, PA
                  12902=HIGHMARK
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NGS (UN)
                  13292=NGS (QN)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14014=NGS (HHA)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14111=NGS (ME)
                  14112=NGS (ME)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14211=NGS (MA)
                  14212=NGS (MA)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14311=NGS (NH)
                  14312=NGS (NH)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14411=NGS (RI)
                  14412=NGS (RI)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  14511=NGS (VT)
                  14512=NGS (VT)
                  15004=CGS Administrators HHH
                  15101=CGS (KENTUCKY)
                  15102=CGS (KENTUCKY)
                  15201=CGS (OHIO)
                  15202=CGS (OHIO)
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)
                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  50333=TRAVELERS (NEW YORK)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 8
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   Medicaid Vendor Number                            15   122   136  VARCHAR2
     Description: Number which may be assigned to a provider by the state
                  Medicaid agency for external control or billing purposes.
     SAS Name:    MDCD_VNDR_NUM
     COBOL Name:  MDCD-VNDR-NUM

   Original Participation Date                       8    137   144  DATE
     Description: Date a provider is first approved to provide Medicare
                  and/or Medicaid services.
     SAS Name:    ORGNL_PRTCPTN_DT
     COBOL Name:  ORGNL-PRTCPTN-DT

   Prior CHOW Date                                   8    145   152  DATE
     Description: Effective date of the previous change of ownership for
                  this provider.
     SAS Name:    CHOW_PRIOR_DT
     COBOL Name:  CHOW-PRIOR-DT

   Prior Medicare Administrative Contractor (MAC) or 5    153   157  VARCHAR2
   Intermediary or Carrier Code
     Description: Number assigned to the previous Medicare Administrative
                  Contractor, intermediary or carrier servicing this
                  provider.
     SAS Name:    INTRMDRY_CARR_PRIOR_CD
     COBOL Name:  INTRMDRY-CARR-PRIOR-CD
     VALUES:      00000=DUMMY FOR MEDICAID HHA
                  00010=BLUE CROSS (ALABAMA)
                  00011=CAHABA
                  00020=BLUE CROSS (ARKANSAS)
                  00040=BLUE CROSS (CALIFORNIA)
                  00060=BLUE CROSS (CONNECTICUT)
                  00070=BLUE CROSS (DELAWARE)
                  00090=BLUE CROSS (FLORIDA)
                  00101=BLUE CROSS (GEORGIA)
                  00121=HEALTH CARE SERVICE CORPORATION
                  00122=HCSC - MICHIGAN
                  00123=HCSC OF MICHIGAN
                  00130=NATIONAL GOVERNMENT SERVICES
                  00131=NATIONAL GOVERNMENT SERVICES
                  00140=BLUE CROSS (IOWA/SOUTH DAKOTA)
                  00150=BLUE CROSS (KANSAS)
                  00160=NATIONAL GOVERNMENT SERVICES
                  00180=NATIONAL GOVERNMENT SERVICES
                  00181=NATIONAL GOVERNMENT SERVICES
                  00190=BLUE CROSS (MARYLAND)
                  00200=BLUE CROSS (MASSACHUSETTS)
                  00210=BLUE CROSS (MICHIGAN)
                  00220=BLUE CROSS (MINNESOTA)
                  00230=BLUE CROSS (MISSISSIPPI)
                  00231=BLUE CROSS (LOUISIANA)
                  00233=PINNACLE
                  00241=BLUE CROSS (MISSOURI)
                  00260=BLUE CROSS (NEBRASKA)
                  00270=NATIONAL GOVERNMENT SERVICES
                  00280=BLUE CROSS (NEW JERSEY)
                  00290=BLUE CROSS (NEW MEXICO)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 9
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00308=NATIONAL GOVERNMENT SERVICES
                  00310=BLUE CROSS (NORTH CAROLINA)
                  00320=NORIDIAN PART A
                  00322=NORIDIAN PART A (AK/WA)
                  00323=NORIDIAN PART A (ID/OR)
                  00325=NORIDIAN
                  00332=NATIONAL GOVERNMENT SERVICES
                  00340=BLUE CROSS (OKLAHOMA)
                  00350=BLUE CROSS (OREGON)
                  00351=BLUE CROSS (OREGON) (IDAHO CLAIMS)
                  00362=BLUE CROSS (INDEPENDENCE)
                  00363=BLUE CROSS (WESTERN PENNSYLVANIA)
                  00366=HIGHMARK MEDICARE SERVICES
                  00370=BLUE CROSS (RHODE ISLAND)
                  00380=BLUE CROSS (SOUTH CAROLINA)
                  00390=BLUE CROSS (TENNESSEE)
                  00400=BLUE CROSS (TEXAS)
                  00410=BLUE CROSS (UTAH)
                  00423=BLUE CROSS (VIRGINIA/WEST VA)
                  00430=BLUE CROSS (WASHINGTON & ALASKA)
                  00450=NATIONAL GOVERNMENT SERVICES
                  00452=NATIONAL GOVERNMENT SERVICES
                  00453=NATIONAL GOVERNMENT SERVICES
                  00454=NATIONAL GOVERNMENT SERVICES
                  00456=NATIONAL GOVERNMENT SERVICES
                  00468=BLUE CROSS (NORTH CAROLINA FOR PR)
                  00510=BLUE SHIELD (ALABAMA)
                  00511=CAHABA
                  00512=CAHABA
                  00520=BLUE SHIELD (ARKANSAS)
                  00528=BLUE SHIELD (ARKANSAS/LOUISIANA)
                  00542=BLUE SHIELD (CALIFORNIA)
                  00550=BLUE SHIELD (COLORADO)
                  00570=BLUE SHIELD (DELAWARE)
                  00580=BLUE SHIELD (DISTRICT OF COLUMBIA)
                  00590=BLUE SHIELD (FLORIDA)
                  00621=BLUE SHIELD (ILLINOIS)
                  00630=NATIONAL GOVERNMENT SERVICES
                  00640=BLUE SHIELD (IOWA)
                  00650=BLUE SHIELD (KANSAS)
                  00655=BLUE SHIELD (KANSAS/NEBRASKA)
                  00660=NATIONAL GOVERNMENT SERVICES
                  00690=BLUE SHIELD (MARYLAND)
                  00700=BLUE SHIELD (MASSACHUSETTS)
                  00710=BLUE SHIELD (MICHIGAN)
                  00720=BLUE SHIELD (MINNESOTA)
                  00740=BLUE SHIELD (KANSAS CITY)
                  00770=BLUE SHIELD (NEW HAMPSHIRE/VERMONT)
                  00780=BLUE SHIELD (TRI-STATE)
                  00801=BLUE SHIELD (BUFFALO)
                  00803=NATIONAL GOVERNMENT SERVICES
                  00805=NATIONAL GOVERNMENT SERVICES
                  00821=NORIDIAN
                  00824=NORIDIAN GVT SERVICES (CO)
                  00826=NORIDIAN GVT SERVICES (IA)
                  00831=NORIDIAN GVT SERVICES (AK)
                  00832=NORIDIAN GVT SERVICES (AZ)
                  00833=NORIDIAN GVT SERVICES (HI)
                  00834=NORIDIAN GVT SERVICES (NV)
                  00835=NORIDIAN GVT SERVICES (OR)
                  00836=NORIDIAN GVT SERVICES (WA)
                  00860=BLUE SHIELD (PENNSYLVANIA/NEW JERSEY)
                  00865=BLUE SHIELD (PENNSYLVANIA)
                  00870=BLUE SHIELD (RHODE ISLAND)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 10
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  00880=BLUE SHIELD (SOUTH CAROLINA)
                  00883=PALMETTO GBA PART B
                  00884=PALMETTO GBA
                  00889=NORIDIAN GVT SERVICES (SD)
                  00900=BLUE SHIELD (TEXAS)
                  00901=TRAILBLAZERS HEALTH ENTERPRISES
                  00904=TRAILBLAZER
                  00910=BLUE SHIELD (UTAH)
                  00930=BLUE SHIELD (WASHINGTON)
                  00951=WISCONSIN PHYSICIANS SERVICE
                  00952=WPS - ILLINOIS
                  00953=WPS - MICHIGAN
                  00954=WI PHYSICIAN SERVICES - MN
                  00973=BLUE SHIELD (PUERTO RICO)
                  00974=BLUE SHIELD (VIRGIN ISLANDS)
                  01010=AETNA (PEORIA)
                  01020=AETNA (ALASKA)
                  01030=AETNA (ARIZONA)
                  01040=AETNA (GEORGIA)
                  01101=PALMETTO (CALIFORNIA)
                  01102=PALMETTO (CALIFORNIA (NORTH)
                  01111=Noridian (CA)
                  01112=Noridian (NF)
                  01120=AETNA (HAWAII)
                  01182=Noridian (SF)
                  01192=PALMETTO (CALIFORNIA SOUTH)
                  01201=PALMETTO (HAWAII)
                  01202=PALMETTO (HAWAII)
                  01211=Noridian (AS, GU, HI)
                  01212=Noridian (AS, GU, HI)
                  01290=AETNA (NEVADA)
                  01301=PALMETTO (NEVADA)
                  01302=PALMETTO (NEVADA)
                  01311=Noridian (NV)
                  01312=Noridian (NV)
                  01360=AETNA (NEW MEXICO)
                  01370=AETNA (OKLAHOMA)
                  01380=AETNA (OREGON)
                  01390=AETNA (WASHINGTON)
                  01901=PALMETTO GBA
                  01902=PALMETTO GBA
                  01911=Noridian (AS, GU, HI, NV)
                  02050=OCCIDENTAL (CALIFORNIA)
                  02101=Noridian AK
                  02102=Noridian AK
                  02201=Noridian ID
                  02202=Noridian ID
                  02301=Noridian OR
                  02302=Noridian OR
                  02401=Noridian WA
                  02402=Noridian WA
                  03001=NORIDIAN ADMIN SERVICES
                  03101=NORIDAN (ARIZONA)
                  03102=NORIDAN (ARIZONA)
                  03201=NORIDAN (MONTANA)
                  03202=NORIDAN (MONTANA)
                  03301=NORDIAN (NORTH DAKOTA)
                  03302=NORDIAN (NORTH DAKOTA)
                  03401=NORIDIAN (SOUTH DAKOTA)
                  03402=NORIDIAN (SOUTH DAKOTA)
                  03501=NORIDIAN (UTAH)
                  03502=NORIDIAN (UTAH)
                  03601=NORIDIAN (WYOMING)
                  03602=NORIDIAN (WYOMING)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 11
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  04001=TRAILBLAZER
                  04101=TRAILBLAZER (COLORADO)
                  04102=TRAILBLAZER (COLORADO)
                  04111=NOVITAS (COLORADO)
                  04112=NOVITAS (COLORADO)
                  04201=TRAILBLAZER (NEW MEXICO)
                  04202=TRAILBLAZER (NEW MEXICO)
                  04211=NOVITAS (NEW MEXICO)
                  04212=NOVITAS (NEW MEXICO)
                  04301=TRAILBLAZER (OKLAHOMA)
                  04302=TRAILBLAZER (OKLAHOMA)
                  04311=NOVITAS (OKLAHOMA)
                  04312=NOVITAS (OKLAHOMA)
                  04401=TRAILBLAZER (TEXAS)
                  04402=TRAILBLAZER (TEXAS)
                  04411=NOVITAS (TEXAS)
                  04412=NOVITAS (TEXAS)
                  04901=MUTUAL LEGACY
                  04911=NOVITAS
                  05101=WPS (IOWA)
                  05102=WPS (IOWA)
                  05130=EQICOR (IDAHO)
                  05201=WPS (KANSAS)
                  05202=WPS (KANSAS)
                  05301=WPS (MISSOURI)
                  05302=WPS (MISSOURI WEST)
                  05392=WPS (MISSOURI EAST)
                  05401=WPS (NEBRASKA)
                  05402=WPS (NEBRASKA)
                  05440=EQICOR (TENNESSEE)
                  05535=EQICOR (NORTH CAROLINA)
                  05901=WISCONSIN PHYSICIANS SERVICE
                  06001=NGS (WI)
                  06004=National Govt Serv HHH
                  06101=NGS (IL)
                  06102=NGS (IL)
                  06201=NGS (MN)
                  06202=NGS (MN)
                  06301=NGS (WI)
                  06302=NGS (WI)
                  07101=Novitas AR
                  07102=Novitas AR
                  07201=Novitas LA
                  07202=Novitas LA
                  07301=Novitas MS
                  07302=Novitas MS
                  08101=WPS IN
                  08102=WPS IN
                  08201=WPS MI
                  08202=WPS MI
                  09101=FIRST COAST (FLORIDA)
                  09102=FIRST COAST (FLORIDA)
                  09201=FIRST COAST (PUERTO RICO/VIRGIN ISLANDS)
                  09202=FIRST COAST (PUERTO RICO)
                  09302=FIRST COAST (VIRGIN ISLANDS)
                  10071=TRAVELERS (RRB)
                  10101=CAHABA GBA (AL)
                  10102=CAHABA GBA (AL)
                  10201=CAHABA GBA (GA)
                  10202=CAHABA GBA (GA)
                  10230=TRAVELERS (CONNECTICUT)
                  10240=TRAVELERS (MINNESOTA)
                  10250=TRAVELERS (MISSISSIPPI)
                  10301=CAHABA GBA (TN)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 12
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  10302=CAHABA GBA (TN)
                  10490=TRAVELERS (VIRGINIA)
                  10492=TRAVELERS - VIRGINIA SPECIAL PROJECT
                  11004=PALMETTO HHH C
                  11201=PALMETTO GBA (SC)
                  11202=PALMETTO GBA (SC)
                  11260=GENERAL AMERICAN
                  11301=PALMETTO GBA (VA)
                  11302=PALMETTO GBA (VA)
                  11401=PALMETTO GBA (WV)
                  11402=PALMETTO GBA (WV)
                  11501=PALMETTO GBA (NC)
                  11502=PALMETTO GBA (NC)
                  12101=Novitas DE
                  12102=Novitas DE
                  12201=Novitas DC
                  12202=Novitas DC
                  12301=Novitas MD
                  12302=Novitas MD
                  12401=Novitas NJ
                  12402=Novitas NJ
                  12501=Novitas PA
                  12502=Novitas PA
                  12901=Novitas Solutions DC, DE, MD, PA
                  12902=HIGHMARK
                  13101=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13102=NATIONAL GOVT SERVICES (CONNECTICUT)
                  13201=NATIONAL GOVT SERVICES (NEW YORK)
                  13202=NATIONAL GOVT SERVICES (NEW YORK - EMPIRE)
                  13282=NGS (UN)
                  13292=NGS (QN)
                  14004=NATIONAL HERITAGE (HHA - A)
                  14014=NGS (HHA)
                  14101=NATIONAL HERITAGE (MAINE)
                  14102=NATIONAL HERITAGE (MAINE)
                  14111=NGS (ME)
                  14112=NGS (ME)
                  14201=NATIONAL HERITAGE (MASSACHUSETTS)
                  14202=NATIONAL HERITAGE (MASSACHUSETTS)
                  14211=NGS (MA)
                  14212=NGS (MA)
                  14301=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14302=NATIONAL HERITAGE (NEW HAMPSHIRE)
                  14311=NGS (NH)
                  14312=NGS (NH)
                  14330=GROUP HEALTH INC (NEW YORK)
                  14401=NATIONAL HERITAGE (RHODE ISLAND)
                  14402=NATIONAL HERITAGE (RHODE ISLAND)
                  14411=NGS (RI)
                  14412=NGS (RI)
                  14501=NATIONAL HERITAGE (VERMONT)
                  14502=NATIONAL HERITAGE (VERMONT)
                  14511=NGS (VT)
                  14512=NGS (VT)
                  15004=CGS Administrators HHH
                  15101=CGS (KENTUCKY)
                  15102=CGS (KENTUCKY)
                  15201=CGS (OHIO)
                  15202=CGS (OHIO)
                  16360=NATIONWIDE (OHIO)
                  16510=NATIONWIDE (WEST VIRGINIA)
                  17120=HAWAII MEDICAL SERVICE ASSOCIATION
                  21200=MASSACHUSETTS/MAINE
                  31142=NATIONAL HERITAGE INSURANCE CO (MAINE)


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 13
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  31143=NATIONAL HERITAGE INSURANCE CO
                  31144=NATIONAL HERITAGE INSURANCE CO
                  50333=TRAVELERS (NEW YORK)
                  51051=AETNA (PETALUMA)
                  51070=AETNA (FARMINGTON)
                  51100=AETNA (CLEARWATER)
                  51140=AETNA (PEORIA)
                  51390=AETNA (FORT WASHINGTON)
                  52280=MUTUAL OF OMAHA
                  57400=COOPERATIVA (PUERTO RICO)

   CCN                                               10   158   167  VARCHAR2
     Description: Six or ten position identification number that is
                  assigned to a certified provider.  This is the CMS
                  Certification Number.
     SAS Name:    PRVDR_NUM
     COBOL Name:  PRVDR-NUM

   Region Code                                       2    168   169  VARCHAR2
     Description: Indicates the CMS Regional Office responsible for the
                  certification of the provider.
     SAS Name:    RGN_CD
     COBOL Name:  RGN-CD
     VALUES:      01=Boston
                  02=New York
                  03=Philadelphia
                  04=Atlanta
                  05=Chicago
                  06=Dallas
                  07=Kansas City
                  08=Denver
                  09=San Francisco
                  10=Seattle

   Skeleton Record Indicator                         1    170   170  VARCHAR2
     Description: Indicates if the record is a skeleton record.  Only a
                  limited set of data is available for this provider; no
                  survey data exists.
     SAS Name:    SKLTN_REC_SW
     COBOL Name:  SKLTN-REC-SW

   State Abbreviation                                2    171   172  VARCHAR2
     Description: Two-character state abbreviation.
     SAS Name:    STATE_CD
     COBOL Name:  STATE-CD
     VALUES:      AK=ALASKA
                  AL=ALABAMA
                  AR=ARKANSAS
                  AS=AMERICAN SAMOA
                  AZ=ARIZONA
                  CA=CALIFORNIA
                  CN=CANADA
                  CO=COLORADO
                  CT=CONNECTICUT
                  DC=DISTRICT OF COLUMBIA
                  DE=DELAWARE
                  FL=FLORIDA
                  FN=INTERNATIONAL
                  GA=GEORGIA
                  GU=GUAM
                  HI=HAWAII
                  IA=IOWA
                  ID=IDAHO
                  IL=ILLINOIS


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 14
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  IN=INDIANA
                  KS=KANSAS
                  KY=KENTUCKY
                  LA=LOUISIANA
                  MA=MASSACHUSETTS
                  MD=MARYLAND
                  ME=MAINE
                  MI=MICHIGAN
                  MN=MINNESOTA
                  MO=MISSOURI
                  MP=SAIPAN
                  MS=MISSISSIPPI
                  MT=MONTANA
                  MX=MEXICO
                  NC=NORTH CAROLINA
                  ND=NORTH DAKOTA
                  NE=NEBRASKA
                  NH=NEW HAMPSHIRE
                  NJ=NEW JERSEY
                  NM=NEW MEXICO
                  NV=NEVADA
                  NY=NEW YORK
                  OH=OHIO
                  OK=OKLAHOMA
                  OR=OREGON
                  PA=PENNSYLVANIA
                  PR=PUERTO RICO
                  RI=RHODE ISLAND
                  SC=SOUTH CAROLINA
                  SD=SOUTH DAKOTA
                  TN=TENNESSEE
                  TX=TEXAS
                  UT=UTAH
                  VA=VIRGINIA
                  VI=VIRGIN ISLANDS
                  VT=VERMONT
                  WA=WASHINGTON
                  WI=WISCONSIN
                  WV=WEST VIRGINIA
                  WY=WYOMING

   SSA State Code                                    2    173   174  VARCHAR2
     Description: Social Security Administration geographic code indicating
                  the state where the provider is located.
     SAS Name:    SSA_STATE_CD
     COBOL Name:  SSA-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  03=ARIZONA
                  04=ARKANSAS
                  05=CALIFORNIA
                  06=COLORADO
                  07=CONNECTICUT
                  08=DELAWARE
                  09=DISTRICT OF COLUMBIA
                  10=FLORIDA
                  11=GEORGIA
                  12=HAWAII
                  13=IDAHO
                  14=ILLINOIS
                  15=INDIANA
                  16=IOWA
                  17=KANSAS
                  18=KENTUCKY


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 15
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  19=LOUISIANA
                  20=MAINE
                  21=MARYLAND
                  22=MASSACHUSETTS
                  23=MICHIGAN
                  24=MINNESOTA
                  25=MISSISSIPPI
                  26=MISSOURI
                  27=MONTANA
                  28=NEBRASKA
                  29=NEVADA
                  30=NEW HAMPSHIRE
                  31=NEW JERSEY
                  32=NEW MEXICO
                  33=NEW YORK
                  34=NORTH CAROLINA
                  35=NORTH DAKOTA
                  36=OHIO
                  37=OKLAHOMA
                  38=OREGON
                  39=PENNSYLVANIA
                  40=PUERTO RICO
                  41=RHODE ISLAND
                  42=SOUTH CAROLINA
                  43=SOUTH DAKOTA
                  44=TENNESSEE
                  45=TEXAS
                  46=UTAH
                  47=VERMONT
                  48=VIRGIN ISLANDS
                  49=VIRGINIA
                  50=WASHINGTON
                  51=WEST VIRGINIA
                  52=WISCONSIN
                  53=WYOMING
                  54=AFRICA
                  56=CANADA
                  57=WEST INDIES
                  58=EUROPE
                  59=MEXICO
                  60=OCEANIA
                  61=PHILIPPINES
                  62=SOUTH AMERICA
                  63=UNITED STATES POSSESSIONS
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN
                  99=INTERNATIONAL

   State Region Code                                 3    175   177  VARCHAR2
     Description: Identifies the region within a state where the provider
                  is located.
     SAS Name:    STATE_RGN_CD
     COBOL Name:  STATE-RGN-CD
     VALUES:      AK/001=ALASKA
                  AK/LAB=LABORATORIES
                  AL/001=ALABAMA
                  AL/LAB=LABORATORIES
                  AR/001=ARKANSAS
                  AR/LAB=LABORATORIES
                  AS/001=AMERICAN SAMOA
                  AS/LAB=LABORATORY
                  AZ/AZ=PHOENIX
                  AZ/LAB=ARIZONA LAB


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 16
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  AZ/TUC=TUCSON
                  CA/BAK=BAKERSFIELD
                  CA/BER=SAN BERNARDINO
                  CA/BK=BERKELEY
                  CA/BK1=CONTRA COSTA
                  CA/FR=FRESNO
                  CA/L1=L.A. WEST
                  CA/L2=L.A. NORTH
                  CA/L3=L.A. CENTRAL
                  CA/L4=L.A. EAST
                  CA/L5=SAN GABRIEL
                  CA/LAB=LABORATORIES
                  CA/M1=LAB. SOUTH
                  CA/M2=LAB. NORTH
                  CA/ORG=ORANGE CO
                  CA/RIV=RIVERSIDE
                  CA/RWC=REDWOOD COAST
                  CA/S1=SACRAMENTO
                  CA/S2=SACTO SOUTH
                  CA/S3=CHICO
                  CA/SD=SAN DIEGO
                  CA/SDS=SAN DIEGO SOUTH
                  CA/SF=SAN FRANCISCO
                  CA/SJ=SAN JOSE
                  CA/SR=SANTA ROSA
                  CA/VEN=VENTURA
                  CN/001=CANADA
                  CN/LAB=LABORATORY
                  CO/001=COLORADO
                  CO/LAB=LABORATORIES
                  CT/001=CONNECTICUT
                  CT/LAB=LABORATORIES
                  DC/001=DISTRICT OF COLUMBIA
                  DC/LAB=LABORATORIES
                  DE/001=DELAWARE
                  DE/LAB=LABORATORIES
                  FL/FTM=FT. MYERS
                  FL/GAI=GAINESVILLE
                  FL/JAX=JACKSONVILLE
                  FL/LAB=LABORATORIES
                  FL/LAN=LANTANA
                  FL/LAU=LAUDERHILL
                  FL/MIA=MIAMI
                  FL/ORL=ORLANDO
                  FL/PEN=PENSACOLA
                  FL/STP=ST. PETERSBURG
                  FL/TAL=TALLAHASSEE
                  FL/TAM=TAMPA
                  FM/001=FEDERATED STATES OF MICRO
                  FN/001=INTERNATIONAL
                  FN/LAB=LABORATORIES
                  GA/001=GEORGIA
                  GA/GAA=GEORGIA ALL
                  GA/GAC=GEORGIA CENTRAL
                  GA/GAE=GEORGIA EASTERN
                  GA/GAN=GEORGIA NORTH
                  GA/GAS=GEORGIA SOUTH
                  GA/GAW=GEORGIA WESTERN
                  GA/LAB=LABORATORIES
                  GU/001=GUAM
                  GU/LAB=LABORATORIES
                  HI/001=HAWAII
                  HI/LAB=LABORATORIES
                  IA/001=IOWA


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 17
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  IA/LAB=LABORATORIES
                  ID/001=IDAHO
                  ID/LAB=LABORATORIES
                  IL/001=ILLINOIS
                  IL/LAB=LABORATORIES
                  IN/001=INDIANA
                  IN/LAB=LABORATORIES
                  KS/KCK=KANSAS CITY
                  KS/KDH=KDHE
                  KS/LAB=LABORATORIES
                  KS/LAW=LAWRENCE
                  KS/NC=NORTH CENTRAL KANSAS
                  KS/NE=NORTH EAST KANSAS
                  KS/NW=NORTH WEST KANSAS
                  KS/SC=SOUTH CENTRAL KANSAS
                  KS/SE=SOUTH EAST KANSAS
                  KS/SW=SOUTH WEST KANSAS
                  KS/WST=WEST
                  KY/2C1=HOPKINSVILLE
                  KY/2C2=LOUISVILLE
                  KY/2C3=LONDON
                  KY/2C4=LEXINGTON
                  KY/LAB=LABORATORIES
                  LA/001=LOUISIANA
                  LA/LA1=NEW ORLEANS
                  LA/LA2=MANDEVILLE
                  LA/LA3=LAFAYETTE
                  LA/LA4=MONROE
                  LA/LA5=SHREVEPORT
                  LA/LA6=ALEXANDRIA
                  LA/LAB=LABORATORIES
                  LA/LB1=CLIA NEW ORLEANS
                  LA/LB5=CLIA SHREVEPORT
                  LA/LB6=CLIA ALEXANDRIA
                  MA/001=MASSACHUSETTS
                  MA/LAB=LABORATORIES
                  MD/001=MARYLAND
                  MD/LAB=LABORATORIES
                  ME/001=MAINE
                  ME/LAB=LABORATORIES
                  MH/001=MARSHALL ISLANDS
                  MI/001=MICHIGAN
                  MI/LAB=LABORATORIES
                  MN/001=MINNESOTA
                  MN/LAB=LABORATORIES
                  MO/01=REGION01
                  MO/02=REGION02
                  MO/03=REGION 03
                  MO/04=REGION 04
                  MO/05=REGION 05
                  MO/06=REGION 06
                  MO/07=REGION 07
                  MO/1NH=REGION 1 NH
                  MO/2NH=REGION 2 NH
                  MO/3NH=REGION 3 NH
                  MO/4NH=REGION 4 NH
                  MO/5NH=REGION 5 NH
                  MO/6NH=REGION 6 NH
                  MO/7NH=REGION 7 NH
                  MO/LAB=LABORATORIES
                  MO/MO=STATEWIDE
                  MP/001=NORTHERN MARIANA ISLANDS
                  MP/LAB=LABORATORIES
                  MS/001=MISSISSIPPI


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 18
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  MS/LAB=LABORATORIES
                  MT/001=MONTANA
                  MT/LAB=LABORATORIES
                  MX/001=MEXICO
                  MX/LAB=LABORATORY
                  NC/LAB=LABORATORIES
                  NC/NCC=NORTH CAROLINA CENTRAL
                  NC/NCE=NORTH CAROLINA EAST
                  NC/NCN=NORTH CAROLINA NORTH
                  NC/NCS=NORTH CAROLINA SOUTH
                  NC/NCW=NORTH CAROLINA WEST
                  ND/001=NORTH DAKOTA
                  ND/LAB=LABORATORIES
                  NE/1=NORTH CENTRAL
                  NE/2=CENTRAL
                  NE/3=NORTHEAST
                  NE/4=SOUTHEAST
                  NE/5=WESTERN
                  NE/LAB=LABORATORIES
                  NH/001=NEW HAMPSHIRE
                  NH/LAB=LABORATORIES
                  NJ/001=NEW JERSEY
                  NJ/LAB=LABORATORIES
                  NM/001=NEW MEXICO
                  NM/LAB=LABORATORIES
                  NV/CC=CARSON CITY
                  NV/LAB=LABORATORIES
                  NV/LV=LAS VEGAS
                  NY/001=BUFFALO
                  NY/002=ROCHESTER
                  NY/003=SYRACUSE
                  NY/004=ALBANY
                  NY/005=NEW ROCHELLE
                  NY/006=NEW YORK CITY
                  NY/007=SUFFOLK/NASSAU COUNTY
                  NY/LAB=LABORATORIES
                  OH/001=OHIO
                  OH/LAB=LABORATORIES
                  OK/001=OKLAHOMA
                  OK/LAB=LABORATORIES
                  OR/001=OFFICE #1
                  OR/002=OFFICE #2
                  OR/003=OFFICE #3
                  OR/LAB=LABORATORIES
                  PA/001=PENNSYLVANIA
                  PA/LAB=LABORATORIES
                  PR/001=PUERTO RICO
                  PR/LAB=LABORATORIES
                  PW/001=PALAU
                  RI/001=RHODE ISLAND
                  RI/LAB=LABORATORIES
                  SC/001=SOUTH CAROLINA
                  SC/LAB=LABORATORIES
                  SD/001=SOUTH DAKOTA
                  SD/LAB=LABORATORIES
                  TN/LAB=LABORATORIES
                  TN/TNC=TENNESSEE COOKEVILLE
                  TN/TNE=TENNESSEE EASTERN
                  TN/TNM=TENNESSEE MIDDLE
                  TN/TNW=TENNESSEE WESTERN
                  TX/001=TEXAS
                  TX/L01=AMARILLO-LTC
                  TX/L02=ABILENE-LTC
                  TX/L03=ARLINGTON-LTC


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 19
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  TX/L04=TYLER-LTC
                  TX/L05=BEAUMONT-LTC
                  TX/L06=HOUSTON-LTC
                  TX/L07=TEMPLE-LTC
                  TX/L08=SAN ANTONIO-LTC
                  TX/L09=SAN ANGELO-LTC
                  TX/L10=EL PASO-LTC
                  TX/L11=CORPUS CHRISTI-LTC
                  TX/LAB=LABORATORIES
                  TX/TX1=LUBBOCK
                  TX/TX2=ARLINGTON
                  TX/TX3=SAN ANTONIO
                  TX/TX4=HOUSTON
                  TX/TX5=TYLER
                  TX/TX6=AUSTIN
                  UT/001=UTAH
                  UT/LAB=LABORATORIES
                  VA/001=VIRGINIA
                  VA/LAB=LABORATORIES
                  VI/001=VIRGIN ISLANDS
                  VI/LAB=LABORATORIES
                  VT/001=VERMONT
                  VT/LAB=LABORATORIES
                  WA/001=ALL OTHERS (NON-LTC FAC)
                  WA/D1=SPOKANE & YAKIMA AREAS
                  WA/D1A=District 1, Unit A
                  WA/D1B=District 1, Unit B
                  WA/D1C=District 1, Unit C
                  WA/D1D=District 1, Unit D
                  WA/D2=SPOKANE & SE
                  WA/D2A=District 2, Unit A
                  WA/D2B=District 2, Unit B
                  WA/D2C=District 2, Unit C
                  WA/D2D=District 2, Unit D
                  WA/D2E=District 2, Unit E
                  WA/D2F=District 2, Unit F
                  WA/D2G=District 2, Unit G
                  WA/D3=NW WASHINGTON
                  WA/D3A=District 3, Unit A
                  WA/D3B=District 3, Unit B
                  WA/D3C=District 3, Unit C
                  WA/D3D=District 3, Unit D
                  WA/D3E=District 3, Unit E
                  WA/D4A=GREATER SEATTLE AREA
                  WA/D4B=S KING COUNTY
                  WA/D5A=PIERCE CTY & PENINSULA
                  WA/D5B=PIERCE CTY & GRAYS HARBOR
                  WA/D6=OLYMPIA AREA
                  WA/LAB=LABORATORIES
                  WI/001=WISCONSIN
                  WI/LAB=LABORATORIES
                  WV/001=WEST VIRGINIA
                  WV/LAB=LABORATORIES
                  WY/001=WYOMING
                  WY/LAB=LABORATORIES

   Address: Street                                   50   178   227  VARCHAR2
     Description: Street address where the provider is located.
     SAS Name:    ST_ADR
     COBOL Name:  ST-ADR

   Telephone Number                                  10   228   237  VARCHAR2
     Description: Telephone number of the provider.
     SAS Name:    PHNE_NUM


 DATE: 01/04/2016              POS RECORD LAYOUT                      PAGE: 20
              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PHNE-NUM

   Termination Code                                  2    238   239  VARCHAR2
     Description: Indicates the current termination status for the
                  provider.
     SAS Name:    PGM_TRMNTN_CD
     COBOL Name:  PGM-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES - CLIA Only
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only
                  10=REV/OTHER REASON - CLIA Only
                  11=INCOMPLETE CLIA APPLICATION INFORMATION - CLIA Only
                  12=NO LONGER PERFORMING TESTS - CLIA Only
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE - CLIA Only
                  14=SHARED LABORATORY - CLIA Only
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE - CLIA Only
                  16=DUPLICATE CLIA NUMBER - CLIA Only
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED - CLIA Only
                  20=NOTIFICATION BANKRUPTCY - CLIA Only
                  33=ACCREDITATION NOT CONFIRMED - CLIA Only
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE - CLIA Only

   Termination or Expiration Date                    8    240   247  DATE
     Description: Date the provider was terminated.  For CLIA providers,
                  date the laboratory's certificate was terminated or the
                  expiration date of the current CLIA certificate.
     SAS Name:    TRMNTN_EXPRTN_DT
     COBOL Name:  TRMNTN-EXPRTN-DT

   Type of Action Code                               1    248   248  VARCHAR2
     Description: Identifies the reason for the certification.  Type of
                  action from the official survey record, CMS 1539 form.
     SAS Name:    CRTFCTN_ACTN_TYPE_CD
     COBOL Name:  CRTFCTN-ACTN-TYPE-CD
     VALUES:      1=INITIAL
                  2=RECERTIFICATION
                  3=TERMINATION
                  4=CHANGE OF OWNERSHIP
                  5=VALIDATION
                  8=FULL SURVEY AFTER COMPLAINT

   Ownership Type Code                               2    249   250  VARCHAR2
     Description: Indicates the ownership type of the provider.
     SAS Name:    GNRL_CNTL_TYPE_CD
     COBOL Name:  GNRL-CNTL-TYPE-CD
     VALUES:      01=RELIGIOUS AFFILIATION
                  02=PRIVATE
                  03=OTHER
                  04=PROPRIETARY
                  05=GOVERNMENT - CITY
                  06=GOVERNMENT - COUNTY
                  07=GOVERNMENT - STATE
                  08=GOVERNMENT - FEDERAL
                  09=GOVERNMENT - OTHER
                  10=UNKNOWN



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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Address: ZIP Code                                 5    251   255  VARCHAR2
     Description: Five-digit ZIP code for a provider's physical address.
     SAS Name:    ZIP_CD
     COBOL Name:  ZIP-CD

   FIPS State Code                                   2    256   257  VARCHAR2
     Description: FIPS State Code
     SAS Name:    FIPS_STATE_CD
     COBOL Name:  FIPS-STATE-CD
     VALUES:      01=ALABAMA
                  02=ALASKA
                  04=ARIZONA
                  05=ARKANSAS
                  06=CALIFORNIA
                  08=COLORADO
                  09=CONNECTICUT
                  10=DELAWARE
                  11=DISTRICT OF COLUMBIA
                  12=FLORIDA
                  13=GEORGIA
                  15=HAWAII
                  16=IDAHO
                  17=ILLINOIS
                  18=INDIANA
                  19=IOWA
                  20=KANSAS
                  21=KENTUCKY
                  22=LOUISIANA
                  23=MAINE
                  24=MARYLAND
                  25=MASSACHUSETTS
                  26=MICHIGAN
                  27=MINNESOTA
                  28=MISSISSIPPI
                  29=MISSOURI
                  30=MONTANA
                  31=NEBRASKA
                  32=NEVADA
                  33=NEW HAMPSHIRE
                  34=NEW JERSEY
                  35=NEW MEXICO
                  36=NEW YORK
                  37=NORTH CAROLINA
                  38=NORTH DAKOTA
                  39=OHIO
                  40=OKLAHOMA
                  41=OREGON
                  42=PENNSYLVANIA
                  43=PUERTO RICO
                  44=RHODE ISLAND
                  45=SOUTH CAROLINA
                  46=SOUTH DAKOTA
                  47=TENNESSEE
                  48=TEXAS
                  49=UTAH
                  50=VERMONT
                  51=VIRGINIA
                  53=WASHINGTON
                  54=WEST VIRGINIA
                  55=WISCONSIN
                  56=WYOMING
                  64=AMERICAN SAMOA
                  65=GUAM
                  66=SAIPAN/MARIANA IS.


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  78=VIRGIN ISLANDS

   FIPS County Code                                  3    258   260  VARCHAR2
     Description: FIPS County Code
     SAS Name:    FIPS_CNTY_CD
     COBOL Name:  FIPS-CNTY-CD

   CBSA Urban Rural Indicator                        1    261   261  VARCHAR2
     Description: CBSA (Core Based Statistical Area) indicates whether the
                  county is defined as Urban or Rural.
     SAS Name:    CBSA_URBN_RRL_IND
     COBOL Name:  CBSA-URBN-RRL-IND

   CBSA Code                                         5    262   266  VARCHAR2
     Description: CBSA (Core Based Statistical Area) geographic entities
                  defined by the U.S. Office of Management and Budget (OMB)
                  on June 6, 2003 for use by Federal statistical agencies
                  in collecting, tabulating, and publishing Federal
                  statistics.  CBSA collectively refers to MSA.
     SAS Name:    CBSA_CD
     COBOL Name:  CBSA-CD

   Address: Street 2nd Line                          50   267   316  VARCHAR2
     Description: Second line of a laboratory's street address.
     SAS Name:    ADDTNL_ST_ADR
     COBOL Name:  ADDTNL-ST-ADR

   Affiliated Provider Number 1                      10   317   326  CHAR
     Description: Affiliated provider number 1
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_1
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-1

   Affiliated Provider Number 2                      10   327   336  CHAR
     Description: Affiliated provider number 2
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_2
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-2

   Affiliated Provider Number 3                      10   337   346  CHAR
     Description: Affiliated provider number 3
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_3
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-3

   Affiliated Provider Number 4                      10   347   356  CHAR
     Description: Affiliated provider number 4
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_4
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-4

   Affiliated Provider Number 5                      10   357   366  CHAR
     Description: Affiliated provider number 5
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_5
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-5

   Affiliated Provider Number 6                      10   367   376  CHAR
     Description: Affiliated provider number 6
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_6
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-6

   Affiliated Provider Number 7                      10   377   386  CHAR
     Description: Affiliated provider number 7
     SAS Name:    AFFILIATED_PROVIDER_NUMBER_7
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-7

   Affiliated Provider Number 8                      10   387   396  CHAR
     Description: Affiliated provider number 8


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     SAS Name:    AFFILIATED_PROVIDER_NUMBER_8
     COBOL Name:  AFFILIATED-PROVIDER-NUMBER-8

   AO A2LA Accredited Code                           1    397   397  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the American Association for Laboratory Accreditation.
                  This information is from the lab's CMS-116.
     SAS Name:    A2LA_ACRDTD_CD
     COBOL Name:  A2LA-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO A2LA Accredited Y Match Date                   8    398   405  DATE
     Description: Date the American Association for Laboratory
                  Accreditation confirmed the lab is accredited.  When the
                  lab is accredited by multiple accrediting organizations,
                  the earliest Y match date initiates  billing of the
                  certificate of accreditation fees.
     SAS Name:    A2LA_ACRDTD_Y_MATCH_DT
     COBOL Name:  A2LA-ACRDTD-Y-MATCH-DT

   AO A2LA Accredited Y Match Indicator              1    406   406  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  American Association for Laboratory Accreditation.
     SAS Name:    A2LA_ACRDTD_Y_MATCH_SW
     COBOL Name:  A2LA-ACRDTD-Y-MATCH-SW

   AO AABB Accredited Code                           1    407   407  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the American Association of Blood Banks.  This
                  information is from the lab's CMS-116.
     SAS Name:    AABB_ACRDTD_CD
     COBOL Name:  AABB-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO AABB Accredited Y Match Date                   8    408   415  DATE
     Description: Date the American Association of Blood Banks confirmed
                  the lab is accredited.  When the lab is accredited by
                  multiple accrediting organizations, the earliest Y match
                  date initiates billing of the certificate of
                  accreditation fees.
     SAS Name:    AABB_ACRDTD_Y_MATCH_DT
     COBOL Name:  AABB-ACRDTD-Y-MATCH-DT

   AO AABB Accredited Y Match Indicator              1    416   416  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  American Association of Blood Banks.
     SAS Name:    AABB_ACRDTD_Y_MATCH_SW
     COBOL Name:  AABB-ACRDTD-Y-MATCH-SW

   AO AOA Accredited Code                            1    417   417  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the American Osteopathic Association.  This information
                  is from the lab's CMS-116.
     SAS Name:    AOA_ACRDTD_CD
     COBOL Name:  AOA-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO AOA Accredited Y Match Date                    8    418   425  DATE
     Description: Date the American Osteopathic Association confirmed the
                  lab is accredited.  When the lab is accredited by
                  multiple accrediting organizations, the earliest Y match
                  date initiates billing of the certificate of
                  accreditation fees.
     SAS Name:    AOA_ACRDTD_Y_MATCH_DT


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  AOA-ACRDTD-Y-MATCH-DT

   AO AOA Accredited Y Match Indicator               1    426   426  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  American Osteopathic Association.
     SAS Name:    AOA_ACRDTD_Y_MATCH_SW
     COBOL Name:  AOA-ACRDTD-Y-MATCH-SW

   AO ASHI Accredited Code                           1    427   427  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the American Society for Histocompatibility and
                  Immunogenetics.  This information is from the lab's
                  CMS-116.
     SAS Name:    ASHI_ACRDTD_CD
     COBOL Name:  ASHI-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO ASHI Accredited Y Match Date                   8    428   435  DATE
     Description: Date the American Society for Histocompatibility and
                  Immunogenetics confirmed the lab is accredited.  When the
                  lab is accredited by multiple accrediting organizations,
                  the earliest Y match date initiates billing of the
                  certificate of accreditation fees.
     SAS Name:    ASHI_ACRDTD_Y_MATCH_DT
     COBOL Name:  ASHI-ACRDTD-Y-MATCH-DT

   AO ASHI Accredited Y Match Indicator              1    436   436  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  American Society for Histocompatibility and
                  Immunogenetics.
     SAS Name:    ASHI_ACRDTD_Y_MATCH_SW
     COBOL Name:  ASHI-ACRDTD-Y-MATCH-SW

   AO CAP Accredited Code                            1    437   437  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the College of American Pathologists.  This information
                  is from the lab's CMS-116.
     SAS Name:    CAP_ACRDTD_CD
     COBOL Name:  CAP-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO CAP Accredited Y Match Date                    8    438   445  DATE
     Description: Date the College of American Pathologists confirmed the
                  lab is accredited.  When the lab is accredited by
                  multiple accrediting organizations, the earliest Y match
                  date initiates billing of the certificate of
                  accreditation fees.
     SAS Name:    CAP_ACRDTD_Y_MATCH_DT
     COBOL Name:  CAP-ACRDTD-Y-MATCH-DT

   AO CAP Accredited Y Match Indicator               1    446   446  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  College of American Pathologists.
     SAS Name:    CAP_ACRDTD_Y_MATCH_SW
     COBOL Name:  CAP-ACRDTD-Y-MATCH-SW

   AO COLA Accredited Code                           1    447   447  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the Commission on Office Laboratory Accreditation.  This
                  information is from the lab's CMS-116.
     SAS Name:    COLA_ACRDTD_CD
     COBOL Name:  COLA-ACRDTD-CD
     VALUES:      X=ACCREDITED



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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   AO COLA Accredited Y Match Date                   8    448   455  DATE
     Description: Date the Commission on Office Laboratory Accreditation
                  confirmed the lab is accredited.  When the lab is
                  accredited by multiple accrediting organizations, the
                  earliest Y match date initiates billing of the
                  certificate of accreditation fees.
     SAS Name:    COLA_ACRDTD_Y_MATCH_DT
     COBOL Name:  COLA-ACRDTD-Y-MATCH-DT

   AO COLA Accredited Y Match Indicator              1    456   456  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  Commission on Office Laboratory Accreditation.
     SAS Name:    COLA_ACRDTD_Y_MATCH_SW
     COBOL Name:  COLA-ACRDTD-Y-MATCH-SW

   AO JC Accredited Code                             1    457   457  VARCHAR2
     Description: Indicates if the lab reported that it is accredited by
                  the Joint Commission.  This information is from the lab's
                  CMS-116.
     SAS Name:    JCAHO_ACRDTD_CD
     COBOL Name:  JCAHO-ACRDTD-CD
     VALUES:      X=ACCREDITED

   AO JC Accredited Y Match Date                     8    458   465  DATE
     Description: Date the Joint Commission confirmed the lab is
                  accredited.  When the lab is accredited by multiple
                  accrediting organizations, the earliest Y match date
                  initiates  billing of the certificate of accreditation
                  fees.
     SAS Name:    JCAHO_ACRDTD_Y_MATCH_DT
     COBOL Name:  JCAHO-ACRDTD-Y-MATCH-DT

   AO JC Accredited Y Match Indicator                1    466   466  VARCHAR2
     Description: Indicates if the lab is confirmed as accredited by the
                  Joint Commission.
     SAS Name:    JCAHO_ACRDTD_Y_MATCH_SW
     COBOL Name:  JCAHO-ACRDTD-Y-MATCH-SW

   Application Received SA Date                      8    467   474  DATE
     Description: Date the CMS-116 application was  entered  in the online
                  system and a CLIA number was issued.
     SAS Name:    APLCTN_RCVD_DT
     COBOL Name:  APLCTN-RCVD-DT

   Application Type Code                             1    475   475  VARCHAR2
     Description: Type of CLIA certificate applied for by a laboratory.
     SAS Name:    APLCTN_TYPE_CD
     COBOL Name:  APLCTN-TYPE-CD
     VALUES:      1=COMPLIANCE
                  2=WAIVER
                  3=ACCREDITATION
                  4=PPM

   Category-specific Facility Type Code              2    476   477  VARCHAR2
     Description: Indicates the category-specific facility type code, for
                  certain provider categories only.
     SAS Name:    GNRL_FAC_TYPE_CD
     COBOL Name:  GNRL-FAC-TYPE-CD
     VALUES:      01=Ambulance
                  02=Ambulatory Surgery Center
                  03=Ancillary Test Site
                  04=Assisted Living Facility
                  05=Blood Banks
                  06=Community Clinic


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

                  07=Comprehensive Outpatient Rehab
                  08=End Stage Renal Disease Dialysis
                  09=Federally Qualified Health Center
                  10=Health Fair
                  11=Health Maintenance Organization
                  12=Home Health Agency
                  13=Hospice
                  14=Hospital
                  15=Independent
                  16=Industrial
                  17=Insurance
                  18=Intermediate Care Facility/Individuals with Intellectual Disabilities
                  19=Mobile Lab
                  20=Pharmacy
                  21=Physician Office
                  22=Other Practitioner
                  23=Prison
                  24=Public Health Laboratory
                  25=Rural Health Clinic
                  26=School/Student Health Service
                  27=Skilled Nursing/Nursing Facility
                  28=Tissue Bank/Repositories
                  29=Other

   CLIA Certificate Effective Date                   8    478   485  DATE
     Description: Start date of the certificate.
     SAS Name:    CRTFCT_EFCTV_DT
     COBOL Name:  CRTFCT-EFCTV-DT

   CLIA Certificate Mailed Date                      8    486   493  DATE
     Description: Date the certificate was generated for mailing.
     SAS Name:    CRTFCT_MAIL_DT
     COBOL Name:  CRTFCT-MAIL-DT

   CLIA Certificate Type Code                        1    494   494  VARCHAR2
     Description: Type of certificate issued to the laboratory, based on
                  the application type code.
     SAS Name:    CRTFCT_TYPE_CD
     COBOL Name:  CRTFCT-TYPE-CD
     VALUES:      1=COMP
                  2=WAIVER
                  3=ACCRED
                  4=PPM
                  9=REG

   Current CLIA Lab Clsfctn CD                       2    495   496  CHAR
     Description: Current Lab Classification
     SAS Name:    CURRENT_CLIA_LAB_CLSFCTN_CD
     COBOL Name:  CURRENT-CLIA-LAB-CLSFCTN-CD
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 1                      2    497   498  CHAR
     Description: Laboratory Classification 1
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_1
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-1
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 10                     2    499   500  CHAR
     Description: Laboratory Classification 10
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_10


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-10
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 2                      2    501   502  CHAR
     Description: Laboratory Classification 2
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_2
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-2
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 3                      2    503   504  CHAR
     Description: Laboratory Classification 3
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_3
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-3
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 4                      2    505   506  CHAR
     Description: Laboratory Classification 4
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_4
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-4
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 5                      2    507   508  CHAR
     Description: Laboratory Classification 5
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_5
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-5
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 6                      2    509   510  CHAR
     Description: Laboratory Classification 6
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_6
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-6
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 7                      2    511   512  CHAR
     Description: Laboratory Classification 7
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_7
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-7
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 8                      2    513   514  CHAR
     Description: Laboratory Classification 8
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_8
     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-8
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Lab Classification CD 9                      2    515   516  CHAR
     Description: Laboratory Classification 9
     SAS Name:    CLIA_LAB_CLASSIFICATION_CD_9


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  CLIA-LAB-CLASSIFICATION-CD-9
     VALUES:      00=CLIA LABORATORY
                  05=CLIA EXEMPT LABORATORY
                  10=CLIA VA LABORATORY

   CLIA Medicare Number                              12   517   528  VARCHAR2
     Description: Contains medicare numbers from prior to CLIA88.  Optional
                  field.
     SAS Name:    CLIA_MDCR_NUM
     COBOL Name:  CLIA-MDCR-NUM

   CLIA Termination Code                             2    529   530  VARCHAR2
     Description: Identifies a laboratory's active or terminated status.
                  If terminated, identifies the reason.
     SAS Name:    CLIA_TRMNTN_CD
     COBOL Name:  CLIA-TRMNTN-CD
     VALUES:      00=ACTIVE PROVIDER
                  01=VOLUNTARY-MERGER, CLOSURE
                  02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT
                  03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION
                  04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL
                  05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ
                  06=INVOLUNTARY-FAILURE TO MEET AGREEMENT
                  07=OTHER-PROVIDER STATUS CHANGE
                  08=NONPAYMENT OF FEES
                  09=REV/UNSUCCESSFUL PARTICIPATION IN PT
                  10=REV/OTHER REASON
                  11=INCOMPLETE CLIA APPLICATION INFORMATION
                  12=NO LONGER PERFORMING TESTS
                  13=MULTIPLE TO SINGLE SITE CERTIFICATE
                  14=SHARED LABORATORY
                  15=FAILURE TO RENEW WAIVER PPM CERTIFICATE
                  16=DUPLICATE CLIA NUMBER
                  17=MAIL RETURNED NO FORWARD ADDRESS CERT ENDED
                  20=NOTIFICATION BANKRUPTCY
                  33=ACCREDITATION NOT CONFIRMED
                  80=AWAITING STATE APPROVAL
                  99=OIG ACTION - DO NOT ACTIVATE

   CMS-116 Accreditation Schedule Code               1    531   531  VARCHAR2
     Description: Indicates the lab's accreditation schedule code
                  calculated by the CLIA system, based on the information
                  in the most recent CMS-116 application form.  Applies
                  only to labs with a certificate of accredition.
     SAS Name:    ACRDTN_SCHDL_CD
     COBOL Name:  ACRDTN-SCHDL-CD
     VALUES:      A=SPEC COUNT < 4  (2,001 TO 10,000 TOT. VOL.)
                  B=SPEC COUNT > 3  (2,001 T0 10,000 TOT. VOL.)
                  C=SPEC COUNT < 4  (10,001 TO 25,000 TOT. VOL.)
                  D=SPEC COUNT > 3  (10,001 TO 25,000 TOT. VOL.)
                  E=SPEC COUNT > 0 (25,001 TO 50,000 TOT. VOL.)
                  F=SPEC COUNT > 0 (50,001 TO 75,000 TOT. VOL.)
                  G=SPEC COUNT > 0 (75,001 TO 100,000 TOT. VOL.)
                  H=SPEC COUNT > 0 (100,001 TO 500,000 TOT. VOL.)
                  I=SPEC COUNT > 0 (500,001 TO 1,000,000 TOT VOL)
                  J=SPEC COUNT > 0 (1,000,001 OR MORE TOT. VOL.)
                  V=TOTAL VOLUME: 1 TO 2,000

   CMS-116 Accredited Annual Test Volume             13   532   544  NUMBER
     Description: Sum for all specialties as reported on the most recent
                  CMS-116 application form.  Applies only to labs with a
                  certificate of accredition.
     SAS Name:    FORM_116_ACRDTD_TEST_VOL_CNT
     COBOL Name:  FORM-116-ACRDTD-TEST-VOL-CNT


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE


   CMS-116 Annual Test Volume                        13   545   557  NUMBER
     Description: Sum for all specialties as reported on the most recent
                  CMS-116 application form.  Applies only to labs with a
                  certificate of compliance.
     SAS Name:    FORM_116_TEST_VOL_CNT
     COBOL Name:  FORM-116-TEST-VOL-CNT

   Director Affiliated Lab Count                     3    558   560  NUMBER
     Description: Number of laboratories with which the lab's director is
                  affiliated.
     SAS Name:    DRCTLY_AFLTD_LAB_CNT
     COBOL Name:  DRCTLY-AFLTD-LAB-CNT

   Fax Phone Number                                  10   561   570  VARCHAR2
     Description: 10-digit fax phone number of the primary contact or the
                  operator of the provider.
     SAS Name:    FAX_PHNE_NUM
     COBOL Name:  FAX-PHNE-NUM

   Fiscal Year End Date (MMDD)                       4    571   574  VARCHAR2
     Description: End date, consisting of the month and day, of the
                  provider's fiscal year.
     SAS Name:    FY_END_MO_DAY_CD
     COBOL Name:  FY-END-MO-DAY-CD

   Multiple Site Certificate Indicator               1    575   575  VARCHAR2
     Description: Indicates if a lab has applied for a single site CLIA
                  certificate to cover multiple testing locations.
     SAS Name:    MLT_SITE_EXCPTN_SW
     COBOL Name:  MLT-SITE-EXCPTN-SW

   Multiple Site Exception: Hospital Campus Indicator 1    576   576  VARCHAR2
     Description: Indicates if the single site CLIA certificate is for a
                  hospital with several labs on a single hospital campus
                  and under common direction.
     SAS Name:    HOSP_LAB_EXCPTN_SW
     COBOL Name:  HOSP-LAB-EXCPTN-SW

   Multiple Site Exception: Public Health Indicator  1    577   577  VARCHAR2
     Description: Indicates if the single site CLIA certificate is for
                  multiple sites with non-profit, federal, state or local
                  government status and engaged in limited public health
                  testing.
     SAS Name:    NON_PRFT_EXCPTN_SW
     COBOL Name:  NON-PRFT-EXCPTN-SW

   Multiple Site Exception: Temporary Testing Site   1    578   578  VARCHAR2
   Indicator
     Description: Indicates if the single site CLIA certificate is for a
                  lab with multiple temporary testing sites.
     SAS Name:    LAB_TEMP_TSTG_SITE_SW
     COBOL Name:  LAB-TEMP-TSTG-SITE-SW

   Multiple Site Lab Count                           4    579   582  NUMBER
     Description: Total number of lab sites for which a lab has applied for
                  a single certificate for multiple sites.
     SAS Name:    LAB_SITE_CNT
     COBOL Name:  LAB-SITE-CNT

   PPM Test Volume Count                             13   583   595  NUMBER
     Description: Estimated total annual Provider Performed Microscopy
                  tests performed by the lab.
     SAS Name:    PPMP_TEST_VOL_CNT


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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

     COBOL Name:  PPMP-TEST-VOL-CNT

   Provider Name 2nd Line                            50   596   645  VARCHAR2
     Description: Second line of a laboratory name.
     SAS Name:    ADDTNL_FAC_NAME
     COBOL Name:  ADDTNL-FAC-NAME

   Related Provider Number                           10   646   655  CHAR
     Description: Related provider number
     SAS Name:    RELATED_PROVIDER_NUMBER
     COBOL Name:  RELATED-PROVIDER-NUMBER

   Shared Lab Indicator                              1    656   656  VARCHAR2
     Description: Applies to physician office labs when two or more
                  physicians collectively pool resources to fund a lab's
                  operation.
     SAS Name:    SHR_LAB_SW
     COBOL Name:  SHR-LAB-SW

   Shared Lab Xref Number                            10   657   666  CHAR
     Description: Shared lab xref number
     SAS Name:    SHARED_LAB_XREF_NUMBER
     COBOL Name:  SHARED-LAB-XREF-NUMBER

   Survey Compliance Certificate Schedule Code       1    667   667  VARCHAR2
     Description: Certificate Compliance schedule code based on the
                  information gathered at survey.
     SAS Name:    FORM_1557_CRTFCT_SCHDL_CD
     COBOL Name:  FORM-1557-CRTFCT-SCHDL-CD
     VALUES:      A=SPEC COUNT < 4  (2,001 TO 10,000 TOT. VOL.)
                  B=SPEC COUNT > 3  (2,001 T0 10,000 TOT. VOL.)
                  C=SPEC COUNT < 4  (10,001 TO 25,000 TOT. VOL.)
                  D=SPEC COUNT > 3  (10,001 TO 25,000 TOT. VOL.)
                  E=SPEC COUNT > 0 (25,001 TO 50,000 TOT. VOL.)
                  F=SPEC COUNT > 0 (50,001 TO 75,000 TOT. VOL.)
                  G=SPEC COUNT > 0 (75,001 TO 100,000 TOT. VOL.)
                  H=SPEC COUNT > 0 (100,001 TO 500,000 TOT. VOL.)
                  I=SPEC COUNT > 0 (500,001 TO 1,000,000 TOT VOL)
                  J=SPEC COUNT > 0 (1,000,001 OR MORE TOT. VOL.)
                  V=TOTAL VOLUME: 1 TO 2,000

   Survey Compliance Schedule Code                   1    668   668  VARCHAR2
     Description: Compliance schedule code based on the information
                  gathered at survey.
     SAS Name:    FORM_1557_CMPLNC_SCHDL_CD
     COBOL Name:  FORM-1557-CMPLNC-SCHDL-CD
     VALUES:      A=SPEC COUNT < 4  (2,001 TO 10,000 TOT. VOL.)
                  B=SPEC COUNT > 3  (2,001 T0 10,000 TOT. VOL.)
                  C=SPEC COUNT < 4  (10,001 TO 25,000 TOT. VOL.)
                  D=SPEC COUNT > 3  (10,001 TO 25,000 TOT. VOL.)
                  E=SPEC COUNT > 0 (25,001 TO 50,000 TOT. VOL.)
                  F=SPEC COUNT > 0 (50,001 TO 75,000 TOT. VOL.)
                  G=SPEC COUNT > 0 (75,001 TO 100,000 TOT. VOL.)
                  H=SPEC COUNT > 0 (100,001 TO 500,000 TOT. VOL.)
                  I=SPEC COUNT > 0 (500,001 TO 1,000,000 TOT VOL)
                  J=SPEC COUNT > 0 (1,000,001 OR MORE TOT. VOL.)
                  V=TOTAL VOLUME: 1 TO 2,000

   Survey Test Volume Count                          13   669   681  NUMBER
     Description: Sum of tests performed annually in a laboratory, as
                  verified at the time of the state survey.
     SAS Name:    FORM_1557_TEST_VOL_CNT
     COBOL Name:  FORM-1557-TEST-VOL-CNT



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              CLIA Laboratory, CATEGORY = "22" (SEE POSITIONS 3-4)

   SHORT DESCRIPTION                                LEN  START END    TYPE

   Waived Test Volume Count                          13   682   694  NUMBER
     Description: Estimated total annual waived tests performed by the lab.
     SAS Name:    WVD_TEST_VOL_CNT
     COBOL Name:  WVD-TEST-VOL-CNT

