5. Any person operating an embryo storage facility on or after the effective date of this act or desiring to operate an embryo storage facility shall make application for licensure in a manner and on forms prescribed by the commissioner. The license application form shall include, but shall not be limited to, the following information:
a. the name and address of the embryo storage facility
b. a description of the facility's premises and facilities and the hours of its operation; and
c. any other information the commissioner deems necessary to include on the license application form.