(1) Whenever a clinical laboratory which is not owned or operated by a hospital provides laboratory services for any patient relating to a tumor designated as reportable by ARM 37.8.1801, it must collect, record and make available to the department the following information about that patient:

(a) name and current address of patient;

(b) patient's address at time of diagnosis;

(c) social security number;

(d) name of spouse, if any;

(e) race, sex and marital status;

(f) age at diagnosis, month, day and year of birth;

(g) date and place of initial diagnosis;

(h) primary site of tumor (paired organ) ;

(i) sequence of primary tumors, if more than one;

(j) method of confirming diagnosis;

(k) histology, including dates, place, histologic type and slide number;

(l) summary staging, including whether in situ, localized, regional, distant or unstaged, with no information;

(m) description of tumor and its spread, if any, including size in centimeters, number of positive nodes, number of nodes examined and site of distant metastasis;

(n) status at time of latest recorded information, i.e., whether alive or dead, tumor in evidence or recurring or status unknown; and

(o) names of physicians primarily and secondarily responsible for follow up.