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Clinical Laboratory Improvement Amendments (CLIA) How to Obtain a CLIA CertificateWhen is a CLIA Certificate Required? NOTE: Congress passed the Clinical Laboratory Improvement Amendments (CLIA) in.

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How to use or fill out the Cms 116 Online Fillable Form online

The Cms 116 online fillable form is an essential document for laboratories seeking to obtain or amend their CLIA certification. This guide provides step-by-step instructions to help users navigate the process and complete the form accurately, ensuring compliance with federal standards for laboratory testing.

Follow the steps to fill out the Cms 116 Online Fillable Form.

  1. Click the ‘Get Form’ button to access the Cms 116 online fillable form and open it in your preferred editor.
  2. Read through the form instructions carefully to understand the requirements and components needed for submission.
  3. Begin filling out the form by entering the name and address of the laboratory. Ensure that this information is current and accurate.
  4. Indicate the type of CLIA certificate you are applying for by selecting the appropriate option from the list provided in the form.
  5. Complete the relevant sections regarding the types of tests performed in your laboratory, including details on waived tests or nonwaived testing as applicable.
  6. Provide information about the laboratory director and technical supervisor if required, ensuring their qualifications are accurately documented.
  7. Review all entered information for correctness, ensuring there are no omitted fields and that all data is accurately represented.
  8. Once you have completed all sections, you can save changes, download the form for your records, print it, or share it as needed.

Complete your Cms 116 online application now to ensure your laboratory complies with CLIA certification requirements.

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The CLIA application (Form CMS-116) collects information about your laboratory's operation which is necessary to determine the fees to be assessed, to establish baseline data and to fulfill the statutory requirements for CLIA. This information will also provide an overview of your facility's laboratory operation.

A renewal application will need to be completed and sent to the state agency not less than 9 months before the certificate's expiration date. The fee for a Certificate of waiver is $150.

0:45 19:02 Suggested clip How to apply for a CLIA certificate? Filling out CMS-116 form ...YouTubeStart of suggested clipEnd of suggested clip How to apply for a CLIA certificate? Filling out CMS-116 form ...

The Centers for Medicare & Medicaid Services (CMS) has made available the Clinical Laboratory Improvement Amendments of 1988 (CLIA) Application for Certification Form, CMS-116. This form should be completed and mailed to the address of the local State Agency (PDF) for the state in which your laboratory resides.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232