Clinical Laboratory Improvement Amendments (CLIA)

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Clinical Laboratory Improvement Amendments (CLIA)

Notice:
What's New & Important

Act Now: Make the Switch by March 1, 2026

Laboratories must switch to email notifications to start receiving electronic CLIA fee coupons and certificates. After March 1, 2026, paper fee coupons and CLIA certificates will no longer be available. Don’t miss this important transition to paperless.

Help us spread the word. Download this toolkit, which provides ready-to-use messaging for your outreach to laboratories and providers, plus these materials you can share: Fact Sheet Poster 

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Spotlight

Go paperless – What Happens When You Switch?

 By switching to paperless, your laboratory will get:

  • Email notifications from CMS
  • Electronic fee coupons – the laboratory will no longer receive paper coupons*
  • Electronic CLIA certificates – no more waiting for it to come in the mail* 

*This does not apply to CLIA exempt states or state licensure.

How to Switch

To switch to electronic notifications or update your email address, you must:

  • Provide written notification to your State Agency by email.

                                                 -OR-

  • Fill out the CMS-116 application form. To switch to electronic notifications, check the box, “Receive notifications including electronic certificates via email.”

Tip: Make sure CMS has your laboratory’s most up-to-date email address on file so you get important CLIA updates and information from us. We recommend using a business email address, or one that many staffers can access and use. For other quick tips, check out the Certification Quick Start Guide.

All laboratories can pay their CLIA certification fee online though a secure platform hosted by the U.S. Treasury Department. Paying online is the quickest option – your payment gets processed overnight. It’s much faster than mailing hard-copy checks, which can take up to 10 business days.

Pay CLIA Fees Online

Get Online Payment Info (PDF)

About CLIA

The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA) program. 

The objective of CLIA is to ensure quality laboratory testing. In 1988, Congress passed CLIA regulations to establish quality standards for all testing laboratories to ensure that all patient test results are:

  • Accurate
  • Reliable
  • Timely

CLIA regulations are based on the complexity of the test method. The more complicated the test, the more stringent the requirements. More information about laboratory test categorization and complexity.

CLIA covers approximately 320,000 laboratory entities. State Survey Agencies are authorized to set and enforce CLIA standards.

Although all laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities.


Contact your State Agency about:

  • CLIA fees or payment
  • CMS-116 applications
  • Demographic updates
  • Certificate status or upgrades
  • Laboratory Director changes
  • Filing a complaint

For other questions about the CLIA program, email us at LabExcellence@cms.hhs.gov.

Resources for You

Apply for a CLIA Certificate

Information about the application process and forms you need to submit

Get Certified

CLIA Brochures

Helpful resources to learn about CLIA and laboratory requirements 

Learn More


 

Page Last Modified:
05/05/2025 03:27 PM