PRVDR_CTGRY_SBTYP_CD PRVDR_CTGRY_CD CHOW_CNT CHOW_DT CITY_NAME ACPTBL_POC_SW CMPLNC_STUS_CD SSA_CNTY_CD CROSS_RFRNC_PRVDR_NUM CRTFCTN_DT ELGBLTY_SW FAC_NAME INTRMDRY_CARR_CD MDCD_VNDR_NUM ORGNL_PRTCPTN_DT CHOW_PRIOR_DT INTRMDRY_CARR_PRIOR_CD PRVDR_NUM REC_STUS_CD RGN_CD SKLTN_REC_SW STATE_CD SSA_STATE_CD STATE_RGN_CD ST_ADR PHNE_NUM PGM_TRMNTN_CD TRMNTN_EXPRTN_DT SRVY_PRPSE_CD GNRL_CNTL_TYPE_CD ZIP_CD FIPS_STATE_CD FIPS_CNTY_CD CBSA_URBN_RRL_IND AFFLTD_PRVDR_NUM_1 AFFLTD_PRVDR_NUM_2 AFFLTD_PRVDR_NUM_3 AFFLTD_PRVDR_NUM_4 AFFLTD_PRVDR_NUM_5 AFFLTD_PRVDR_NUM_6 AFFLTD_PRVDR_NUM_7 AFFLTD_PRVDR_NUM_8 ACRDTN_SCHDL_CD AABB_ACRDTD_CD AOA_ACRDTD_CD ASHI_ACRDTD_CD CAP_ACRDTD_CD COLA_ACRDTD_CD JCAHO_ACRDTD_CD AABB_ACRDTD_Y_MATCH_DT AOA_ACRDTD_Y_MATCH_DT ASHI_ACRDTD_Y_MATCH_DT CAP_ACRDTD_Y_MATCH_DT COLA_ACRDTD_Y_MATCH_DT JCAHO_ACRDTD_Y_MATCH_DT AABB_ACRDTD_Y_MATCH_SW COLA_ACRDTD_Y_MATCH_SW JCAHO_ACRDTD_Y_MATCH_SW AOA_ACRDTD_Y_MATCH_SW ASHI_ACRDTD_Y_MATCH_SW CAP_ACRDTD_Y_MATCH_SW FORM_116_ACRDTD_TEST_VOL_CN APLCTN_RCVD_DT FORM_116_TEST_VOL_CNT APLCTN_TYPE_CD CRTFCT_EFCTV_DT CRTFCT_MAIL_DT CRTFCT_TYPE_CD CLIA_LAB_CLASS_CD CLIA_LAB_CLASS_CD_1 CLIA_LAB_CLASS_CD_10 CLIA_LAB_CLASS_CD_2 CLIA_LAB_CLASS_CD_3 CLIA_LAB_CLASS_CD_4 CLIA_LAB_CLASS_CD_5 CLIA_LAB_CLASS_CD_6 CLIA_LAB_CLASS_CD_7 CLIA_LAB_CLASS_CD_8 CLIA_LAB_CLASS_CD_9 CLIA_MDCR_NUM CLIA_TRMNTN_CD VLDTN_SRVY_DT FAX_PHNE_NUM FY_END_MO_DAY_CD MLT_SITE_EXCPTN_SW NON_PRFT_EXCPTN_SW LAB_SITE_CNT DRCTLY_AFLTD_LAB_CNT PPMP_TEST_VOL_CNT CLIA_67_LCNSD_SW RLTD_PRVDR_NUM SHRD_LAB_XRFRNC_NUM SHR_LAB_SW FORM_1557_CRTFCT_SCHDL_CD FORM_1557_CMPLNC_SCHDL_CD FORM_1557_TEST_VOL_CNT WVD_TEST_VOL_CNT GNRL_FAC_TYPE_CD