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Rhode Island CLIA and State Lab Requirements

The state lab license or registration, exemptions, fees and where the CMS-116 goes, with citations.

Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states

What testing sites miss in Rhode Island

Does Rhode Island require a state lab license on top of CLIA?

Rhode Island licenses clinical laboratories and collection stations, including out-of-state labs testing specimens collected there. The law exempts anyone performing only limited-function tests, which the rules define as CLIA-waived tests, and pharmacists performing them, so a waived-only site needs no state license.

  • Clinical laboratory license (and station license for collection sites)
  • Issued by Rhode Island Department of Health
  • Does not reach waived-only labs

Citation: R.I. Gen. Laws 23-16.2-3, 23-16.2-4; 216-RICR-60-05-4

Who is exempt in Rhode Island?

Hospital labs; physicians testing personally and solely for their own patients (an independent lab testing for them is covered); permitted health promotion screening programs; anyone performing only CLIA-waived tests; pharmacists performing waived tests.

Citation: R.I. Gen. Laws 23-16.2-3; 216-RICR-60-05-4.2, 4.3

What does Rhode Island charge?

Station license $650 biennial; screening program permit $70 (as of October 2026).

  • PPM: $650 per approved specialty for a biennial license, unless exempt (as of October 2026)

Citation: 216-RICR-10-05-2

How often does a Rhode Island lab registration renew?

  • Renews every two years
  • Due Licenses expire December 30 of every other year; file the renewal one month before expiration.

Do labs in other states need a Rhode Island license to test its specimens?

Any out-of-state lab testing specimens collected in Rhode Island must hold a Rhode Island license, at $650 per specialty every 2 years. The Department reviews its CLIA certification and home-state license first.

Citation: 216-RICR-60-05-4.5(F); 216-RICR-10-05-2

Where does a Rhode Island CMS-116 go?

  • Rhode Island Department of Health, Division of Facilities Regulation
  • Email: DOH.OFR@health.ri.gov
  • Phone: (401) 222-2721

Opening a testing site in Rhode Island?

We prepare the CMS-116 and any Rhode Island filing for your owner or director to sign, and track both to approval. You pay CMS and the state directly. A Certificate of Waiver application is $399 per site.

Sources

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