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Maryland Cannabis Administration (MCA)

reporting.mca@maryland.gov

849 International Drive, 4th Floor, Linthicum, MD, 21090, US

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Receipt

You will be provided with a Receipt upon submission.

Independent Testing Laboratory Registration Renewal

Please make $5,000 renewal fee payable to the following address:
 
The Maryland Cannabis Administration
Attention-Ugo Osoh
849 International Drive, Suite 450
Linthicum, Maryland 21090

Please Provide Your Business Name(s)

Please upload a copy of the certificate of accreditation, the scope of accreditation, and all supporting documentation.

Click Here to Upload

Business Contact Information

Physical Address

IS YOUR PHYSICAL ADDRESS THE SAME AS YOUR MAILING ADDRESS?

Mailing Address

Authorized Point-Of-Contact(s)

Primary Point-of-Contact

Additional Point-of-Contact (if applicable)

Incorporation/Formation Information

What type of business structure do you have?

Date of Incorporation/Formation

Date Picker

Ownership Structure

Has the business, a parent company, or any other intermediary business entity ever applied for a cannabis license or registration in any state or country? (regardless of whether or not the license or registration was ever issued)

Was the business, a parent company, or any other intermediary business entity who owned a cannabis license or registration, ever subject to any of the following actions?

Acknowledgment and Disclosure

Check "Yes" and use the blank box to acknowledge that the lab is independent from all growers, processors, and dispensaries registered with the State of Maryland.

Signature of Authorized Representative

Choose how to sign