https://www.whitegloveclia.com/blog CLIA certificates, waived testing and state lab requirements, state by state, for practices, pharmacies and clinics. en-us Sun, 11 Oct 2026 01:42:01 GMT https://www.whitegloveclia.com/blog/clia-certificate-of-waiver-guide https://www.whitegloveclia.com/blog/clia-certificate-of-waiver-guide A Certificate of Waiver lets a practice, pharmacy or clinic run FDA-waived tests such as rapid strep, flu and A1c. Who needs one, how the CMS-116 moves through the State Agency, the current CMS fee, the director question, and the rules that apply after the certificate arrives. Sat, 10 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-state-licensure-overview https://www.whitegloveclia.com/blog/clia-state-licensure-overview A CLIA certificate is the federal floor. Some states add their own registration, permit or license for the same waived testing site, two states replace CLIA altogether, and others have repealed or narrowed their lab licenses in recent years. How the state rules sort out, which ones reach waived-only sites, the exemptions that are narrower than they look, and how to check a state before opening. Fri, 09 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-multiple-site-exception https://www.whitegloveclia.com/blog/clia-multiple-site-exception CLIA ties every certificate to one testing location. Federal rules allow only three ways to put more than one site under a single certificate: mobile and temporary testing, limited public health testing by not-for-profit or government labs, and hospital labs on one campus. How each exception works, what CMS says about combining them, and why a for-profit chain files one CMS-116 per location. Thu, 08 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/cms-116-application-guide https://www.whitegloveclia.com/blog/cms-116-application-guide Form CMS-116 is the one application behind every CLIA certificate, and the State Agency returns incomplete ones. A walk through all ten sections of the 03/24 edition: the email field that now carries your fee coupon, the facility type codes, the test menu table, test volume, ownership and the signature block. Wed, 07 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/new-york-limited-service-laboratory https://www.whitegloveclia.com/blog/new-york-limited-service-laboratory New York is one of the two CLIA-exempt states, so a pharmacy, school clinic, home health agency or hospital-owned practice running waived tests there registers with the state instead of filing a CMS-116. What the Limited Service Laboratory registration covers, who can be the director designee, the $200 fee, and the rules that void a registration. Tue, 06 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-urgent-care-chains https://www.whitegloveclia.com/blog/clia-for-urgent-care-chains An urgent care group needs a CLIA certificate at every clinic that runs a rapid strep, flu or urine test, because no federal exception covers a for-profit chain. How to pick the certificate for each clinic, when PPM is worth it, what changes when you open, buy or close a clinic, and where state rules add a second filing. Mon, 05 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-certificate-types https://www.whitegloveclia.com/blog/clia-certificate-types CLIA has five certificates: Waiver, Provider-Performed Microscopy, Registration, Compliance and Accreditation. The right one depends on the most complex test you run. How each works, what it costs CMS-side as of October 2026, who can direct the lab, and how often surveyors come. Sun, 04 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/new-york-physician-office-lab-clia https://www.whitegloveclia.com/blog/new-york-physician-office-lab-clia In New York, a practice owned and run by its own practitioners and testing only its own patients gets a federal CLIA certificate through the Wadsworth Center's POLEP program, using the CMS-116 plus New York's own attachments. Who qualifies, what POLEP adds to the federal form, the multi-site rule that does not apply, and what changes need. Sat, 03 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-pharmacies https://www.whitegloveclia.com/blog/clia-for-pharmacies A pharmacy that runs a rapid flu test, an A1c or a cholesterol screen at the counter is a CLIA laboratory and needs a certificate at that store. How the federal rules apply to pharmacies, what changes when the customer tests themselves, and how state law in California, Georgia, Kentucky, Maine, Maryland, New York and Rhode Island treats pharmacy testing. Fri, 02 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/waived-tests-are-not-exempt https://www.whitegloveclia.com/blog/waived-tests-are-not-exempt "Waived" sounds like "exempt," and plenty of clinics, pharmacies and employer sites start testing on that assumption. CMS says otherwise in capital letters. What the waiver actually waives, what a waiver lab still owes, and the narrow cases where no certificate is needed. Thu, 01 Oct 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/washington-medical-test-site-license https://www.whitegloveclia.com/blog/washington-medical-test-site-license Washington is CLIA-exempt: instead of a federal certificate, every testing site there holds a Medical Test Site license from the state Department of Health, and CMS asks Washington sites not to send a CMS-116. The license types, the $260 waiver fee, the June 30 renewal cycle, and the 30-day rules that catch multi-state groups. Wed, 30 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/pharmacy-test-and-treat-clia https://www.whitegloveclia.com/blog/pharmacy-test-and-treat-clia Test-and-treat has two legal halves. CLIA governs the test: the store needs a certificate, and the kit must be waived and run by its instructions. State pharmacy law governs the treatment: who may order the test and who may prescribe on the result. Where the two meet, with examples from California, Georgia, Kentucky and New York. Tue, 29 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-waived-test-list https://www.whitegloveclia.com/blog/clia-waived-test-list Waiver belongs to a specific test system, not to an analyte, so "A1c is waived" is only half an answer. How to check a kit in FDA's CLIA database, what the waived analytes list does and does not tell you, the 1992 regulatory list, and the habits that turn a waived test into a high complexity one. Mon, 28 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/california-clinical-laboratory-registration https://www.whitegloveclia.com/blog/california-clinical-laboratory-registration Every California site holding a CLIA Certificate of Waiver or PPM certificate must also register with CDPH Laboratory Field Services, and the registration renews every year. Who applies, the $155 and $235 fees, the per-location rule and its exceptions, how pharmacies register, and the 30-day change rule that can revoke a registration automatically. Sun, 27 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-physician-offices https://www.whitegloveclia.com/blog/clia-for-physician-offices Physician office labs are the largest group of CLIA labs in the country, and most run on a Certificate of Waiver. How a practice picks between a waiver, PPM and a nonwaived certificate, what the CMS-116 asks of an office, how group practices with several offices file, and where New York, Pennsylvania, Kentucky, Maine and Maryland treat office labs differently. Sat, 26 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/provider-performed-microscopy-certificate https://www.whitegloveclia.com/blog/provider-performed-microscopy-certificate A Certificate for Provider-Performed Microscopy Procedures lets a practice read wet mounts, KOH preps and urine sediment during the visit without becoming a full nonwaived lab. The nine procedures, who may perform them, the director rules, the CMS fee as of October 2026, and the duties that come with it. Fri, 25 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/pennsylvania-clinical-laboratory-permit https://www.whitegloveclia.com/blog/pennsylvania-clinical-laboratory-permit Pennsylvania requires a state clinical laboratory permit on top of CLIA, and its practitioner-office exemption covers only a short, old list of tests, so a practice running rapid strep, flu or A1c tests usually needs one. The exemption list, the joint CMS-116 and permit packet, the fees, director duties for waived labs, and the August 15 cycle. Thu, 24 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-med-spas-and-iv-clinics https://www.whitegloveclia.com/blog/clia-for-med-spas-and-iv-clinics A med spa or IV clinic that runs a urine pregnancy test before a treatment, or a fingerstick glucose before an infusion, is performing laboratory testing and needs a CLIA certificate. A clinic that only draws blood for an outside lab does not. Where that line sits, which certificate fits, and the state rules that catch med spas. Wed, 23 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-fees-2026 https://www.whitegloveclia.com/blog/clia-fees-2026 The CMS fee for a Certificate of Waiver is $248 as of October 2026, not the $180 still found on older tables. The current certificate, survey, validation, revised and replacement fees, where they come from in the 2023 fee rule, how they will change, and who pays them. Tue, 22 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/hawaii-clinical-laboratory-permit https://www.whitegloveclia.com/blog/hawaii-clinical-laboratory-permit Hawaii exempts a single physician testing only their own patients, but group practices, clinics, FQHCs, home health agencies and mobile sites that run only waived tests need a Class I clinical laboratory permit on top of the CLIA Certificate of Waiver. Who needs one, what OHCA wants in the packet, the director's twice-a-year visits, and the fees. Mon, 21 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-telehealth-companies https://www.whitegloveclia.com/blog/clia-for-telehealth-companies A telehealth company that only orders tests from an outside lab does not need its own CLIA certificate. One that opens testing sites, has staff perform or read tests, or runs its own lab does. Five common telehealth testing models, which ones trigger a certificate, and the state permits that follow specimens across state lines. Sun, 20 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-fee-coupon-email-2026 https://www.whitegloveclia.com/blog/clia-fee-coupon-email-2026 Since March 1, 2026, CMS sends every CLIA fee coupon and certificate by email and takes payment only through pay.gov. What changed, why the email on your CMS-116 now decides whether your renewal gets paid, and how to keep a coupon from landing in an inbox nobody reads. Sat, 19 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/maryland-letter-of-exception https://www.whitegloveclia.com/blog/maryland-letter-of-exception Maryland requires a state license for every medical lab test performed in the state. A physician office lab or point-of-care lab running only CLIA-waived tests can hold a letter of exception instead of a full permit, but it still applies, follows daily quality control rules CLIA does not impose, and renews within two years. Fri, 18 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/at-home-test-kits-and-clia https://www.whitegloveclia.com/blog/at-home-test-kits-and-clia An FDA home-use test that a person runs and reads on themselves is outside CLIA. The same test run or read by a nurse, a school aide or a clinic employee needs a CLIA certificate. CMS's home testing FAQ sets the line, including what counts as helping, what counts as interpreting, and when a home test can be used in a clinic. Thu, 17 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-renewal https://www.whitegloveclia.com/blog/clia-renewal For a waiver, PPM or accredited lab, CLIA renewal mostly means paying the right coupon on time. Compliance labs renew through a survey. When renewal invoices arrive, what the regulations say about timing, what changes at renewal, and how to keep a multi-site group from letting one certificate lapse. Wed, 16 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/maine-clinical-laboratory-license https://www.whitegloveclia.com/blog/maine-clinical-laboratory-license Maine licenses medical laboratories on top of CLIA, and a site running only waived tests receives a limited license unless it fits an exemption. Physician, PA, family NP, rural health clinic and group practice own-patient labs are exempt; pharmacies are not, and neither are med spas or employer sites that fall outside the listed exemptions. Fees, the fire inspection, and the three-year term. Tue, 15 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/mail-in-collection-kits-clia https://www.whitegloveclia.com/blog/mail-in-collection-kits-clia Shipping a swab or blood-spot kit to a patient and mailing it on to a lab is collection, not testing, so the company that sends the kit does not need a CLIA certificate for that step. The lab that tests the specimen does, along with permits from the states the specimens come from. Who needs what in a mail-in program. Mon, 14 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-laboratory-director-requirements https://www.whitegloveclia.com/blog/clia-laboratory-director-requirements Every CLIA lab names a director, but what that person must have ranges from nothing at all under a Certificate of Waiver to board certification or years of supervised experience for high complexity testing. The federal rules for each certificate, the 2024 changes, and what the CMS-116 asks you to prove. Sun, 13 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/new-jersey-clinical-laboratory-license https://www.whitegloveclia.com/blog/new-jersey-clinical-laboratory-license New Jersey licenses clinical laboratories every calendar year, but whether a waived-only site needs that license is not settled by the published text: the Act excludes facilities doing only point-of-care testing, while the fee rule still lists a waived-only license. What each source says, how to read them together, and what a licensed lab renews by December 31. Sat, 12 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-schools-and-employers https://www.whitegloveclia.com/blog/clia-for-schools-and-employers When a school nurse, a shelter worker or an employee health clinic runs a rapid test for someone, that site is a CLIA laboratory, even if the test was sold for home use. When people test themselves and show the result, it is not. How CMS draws the line for group settings, the drug-testing carve-out for employers, and the public health exception schools sometimes fit. Fri, 11 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-director-five-lab-limit https://www.whitegloveclia.com/blog/clia-director-five-lab-limit One person may direct no more than five PPM, moderate complexity or high complexity labs. The rule is short, but it shapes how growing groups staff new sites. Where the limit comes from, what counts as a lab, how the CMS-116 checks it, and why Certificate of Waiver sites are treated differently. Thu, 10 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/texas-clia-form-3225 https://www.whitegloveclia.com/blog/texas-clia-form-3225 Texas has no state lab license, but its CLIA State Agency will not process a CMS-116 without Form 3225, a disclosure of ownership. Which regional office gets the packet, what a waiver application needs, how Texas handles changes by letter, and the fee rules that keep money away from the state. Wed, 09 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-mobile-and-temporary-testing https://www.whitegloveclia.com/blog/clia-mobile-and-temporary-testing Mobile labs, health fairs and pop-up testing events can run under the CLIA certificate of a home base instead of a certificate per stop. What CMS counts as a mobile unit, why a car carrying an analyzer is not one, what goes on the CMS-116, how to report new sites, and where state rules for screening events differ. Tue, 08 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-director-on-site-visits https://www.whitegloveclia.com/blog/clia-director-on-site-visits Since December 28, 2024, directors of moderate and high complexity labs must visit each lab in person at least every six months and, on most routes, bring 20 hours of CE to qualify. What the rule text says, how CMS answered the requests for virtual visits, what documentation counts, and who is grandfathered. Mon, 07 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/florida-clia-requirements https://www.whitegloveclia.com/blog/florida-clia-requirements Florida stopped licensing clinical laboratories on July 1, 2018, so a Florida testing site now needs its federal CLIA certificate and no state lab license. What AHCA still does, why some guides and even AHCA's own page still read as if the license exists, and the Florida rules that still apply to people rather than labs. Sun, 06 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-for-home-health-and-hospice https://www.whitegloveclia.com/blog/clia-for-home-health-and-hospice A home health or hospice nurse who runs a fingerstick glucose or INR in a patient's home is performing laboratory testing for the agency, which needs a CLIA certificate. A nurse who only helps the patient test themselves is not. How CMS treats home visits, why a parent agency and its branches can share one certificate, and what goes on the CMS-116. Sat, 05 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-moderate-complexity-upgrade https://www.whitegloveclia.com/blog/clia-moderate-complexity-upgrade Adding a chemistry analyzer, a CBC or a non-waived molecular platform takes a clinic out of the Certificate of Waiver and into the nonwaived rules. The order of steps, the people the regulations require, proficiency testing and quality control, the fees, and why testing cannot start until the new certificate is in hand. Fri, 04 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/north-carolina-clia-requirements https://www.whitegloveclia.com/blog/north-carolina-clia-requirements North Carolina has no state lab license and no lab personnel license, so a practice, pharmacy or clinic needs only its federal CLIA certificate. What the Division of Health Service Regulation asks for, who signs, what to do when you open a second site, and the parts of its FAQ that have aged. Thu, 03 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-change-of-director https://www.whitegloveclia.com/blog/clia-change-of-director Every CLIA certificate names a laboratory director, and every type requires notice within 30 days when that person changes. What the State Agency needs for a waiver, PPM, compliance or accreditation lab, when a new CMS-116 is required, what the revised certificate costs, and why California treats a director change as a new application. Wed, 02 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-certificate-of-registration https://www.whitegloveclia.com/blog/clia-certificate-of-registration Every new nonwaived lab starts on a Certificate of Registration, a temporary certificate that lets it test while CMS confirms compliance or accreditation. What it allows, how long it lasts, the 11-month accreditation deadline, what the first survey looks at, and what happens if the lab is not ready. Tue, 01 Sep 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/illinois-clia-requirements https://www.whitegloveclia.com/blog/illinois-clia-requirements Illinois's Clinical Laboratory and Blood Bank Act does not apply to CLIA-waived tests, so an Illinois site running only waived tests needs its federal Certificate of Waiver and no state license. What IDPH asks for, its rule for practices sharing one lab, how it treats out-of-state labs, and the stale numbers on its FAQ page. Mon, 31 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-change-of-address-and-ownership https://www.whitegloveclia.com/blog/clia-change-of-address-and-ownership A new address, a new name or a new owner each has to reach the State Agency within 30 days. The CLIA number usually survives all three, even a move to another state. What CMS needs for each change, what a buyer should check before closing, what the revised certificate costs, and how California's 30-day automatic revocation works. Sun, 30 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-compliance-vs-accreditation https://www.whitegloveclia.com/blog/clia-compliance-vs-accreditation Both certificates cover moderate and high complexity testing, and labs split almost evenly between them. The real difference is who inspects you, which standards they bring, and what you pay. Surveys, fees, notifications, validation inspections, and what happens if accreditation is lost. Sat, 29 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/ohio-blood-lead-testing-approval https://www.whitegloveclia.com/blog/ohio-blood-lead-testing-approval An Ohio pediatric practice or clinic running a waived blood lead test needs more than its CLIA Certificate of Waiver: the Ohio Department of Health must approve it as a clinical laboratory for lead analysis, with a $300 application, proficiency testing CLIA does not require for waived tests, and an annual renewal. Fri, 28 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-adding-tests-to-your-menu https://www.whitegloveclia.com/blog/clia-adding-tests-to-your-menu Adding a waived test to a waiver lab is simple. Adding a test your certificate does not cover is not: waiver and PPM labs must notify the State Agency before the first patient result, and running it early is a ground for revocation. How to check a new test, which changes need a new CMS-116, and how state registrations add their own rules. Thu, 27 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-accreditation-organizations https://www.whitegloveclia.com/blog/clia-accreditation-organizations Seven private nonprofit organizations are approved by CMS to accredit labs for CLIA purposes, and two of them account for most accredited labs. Who they are, how many labs each accredits as of September 2026, what approval means, and what an accredited lab still owes CMS. Wed, 26 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/out-of-state-specimen-licensing https://www.whitegloveclia.com/blog/out-of-state-specimen-licensing A CLIA certificate lets a lab test specimens from anywhere in the country, but several states also require their own license or permit before a lab outside their borders tests specimens collected there. New York, Pennsylvania, California, Maryland, Rhode Island and DC each say so in law or rule; Illinois and Michigan say they do not. What each requires, and what it means for telehealth kit programs. Tue, 25 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/qw-modifier-billing https://www.whitegloveclia.com/blog/qw-modifier-billing Medicare recognizes most waived tests only when the code carries the QW modifier, and edits every lab claim against the CLIA certificate on file. Nine codes are the exception. What the QW modifier does, the nine codes that never take it, how new waived tests reach the claims system, and why a waiver lab cannot bill a nonwaived code. Mon, 24 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-proficiency-testing-basics https://www.whitegloveclia.com/blog/clia-proficiency-testing-basics Proficiency testing is how CLIA checks that a nonwaived lab gets the right answer on samples it did not choose. Who must enroll, how the samples must be handled, what counts as unsuccessful performance, and why sending a sample to another lab can cost a lab its certificate for a year. Sun, 23 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA) https://www.whitegloveclia.com/blog/clia-state-agencies https://www.whitegloveclia.com/blog/clia-state-agencies CMS does not take CLIA applications directly. The CMS-116 goes to a State Agency, usually inside the state health department, that enters it, sends it on for billing and, for nonwaived labs, inspects. How to find yours on CMS's list, the states that split the job or have none, the ones that want mail or a director's signature, and what never goes to the State Agency. Sat, 22 Aug 2026 00:00:00 GMT noreply@whitegloveclia.com (White Glove CLIA)