Application and Information
Laboratory Certificate Application Process
Medicare CPT Codes
* CMS - Centers for Medicare & Medicaid Services
Resources
- CMS: CLIA
 - CMS: Individualized Quality Control Plan (IQCP)
 - CMS: Individualized Quality Control Plan (IQCP) Workbook
 - CMS: IQCP Frequently Asked Questions
 - CMS: List of CPT Codes Waived Tests
 - CMS: List of CPT Codes PPM Tests
 - CMS: List of CPT-4 and HCPCS Codes Non-waived Tests subject to edits (CMS)
 - Definitions
 - FDA: CLIA - Currently Waived Analytes
 - FDA: CLIA - Test Complexity Determination
 - IL Secretary of State Corporation/LLC Search
 - IRS: Not-for-profit (federal 501(c)(3) tax determination letter
 - OSHA Publications
 - OSHA State Plans
 - Pay for your CLIA Certificate On-Line
 - Medicaid Provider Enrollment
 - Medicare Provider Enrollment and Certification
 - Moderate Complexity Lab Director Course
 
Forms
- Complaint Form and Instructions
 - Example Letter of Release
 - CMS 209 - Laboratory Personnel Report
 - CLIA Payment Instructions
 - Survey Checklist
 - Post Clinical Laboratory Survey Questionnaire
 - CMS-116 CLIA Application
 - Disclosure or Change of Ownership and Tax ID
 - Health Screening Event Requirements and Approval Request Form (for TESTING and COLLECTION of specimens)
 - Tissue and Sperm Bank Registration
 - Health Wellness Event Requirements and Approval Request Form (for collection of specimens ONLY)
 - Laboratory Personnel Qualifications
 - Laboratory Name, Address, and Email Change
 - Laboratory Director Qualifications
 
Laws & Rules
Publications
- CLIA Regulations How do they Affect my Lab (CDC)
 - Verifications of Performance Specifications (CDC)
 - Calibration and Calibration Verification (CDC)
 - Equivalent Quality Control Procedures (CDC)
 - Proficiency Testing - DOs and DON'T's (CDC)
 - How to Perform Lab Personnel Competency Assessments (CDC)
 - Individualized Quality Control Plan - IQCP (CDC & CMS)
 - Good Laboratory Practices (CDC)
 - Ready? SetTest! Patient Testing is Important. Get the Right Results (CDC)
 - Laboratory Record Retention Requirements
 - To Test or Not to Test Booklet - Considerations for Waived Testing (CDC)
 - Survey Operation Manual – Appendix C
 - How to Obtain a CLIA Certificate (CMS)
 - How to Obtain a CLIA Certificate of Waiver (CMS)
 - Laboratory Director Responsibilities (CMS)