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The Clinical Laboratory Improvement Amendments (CLIA) of 1988 (42 USC 263a) and the associated regulations (42 CFR 493) provide the authority for certification and oversight of clinical laboratories and laboratory testing.
FDA Actions on CLIA Waiver by Application Submission ActionReview Time (FDA days) Substantive Interaction 90 days MDUFA Decision No Panel With Panel 150 320 Dual (510(k) and CLIA Waiver by Application 180 Feb 29, 2024
Thus, laboratories performing similar tests must meet similar standards, whether located in a hospital, doctors office, or other site. Current Regulation: CLIA established three categories of tests: waived tests, moderate complexity tests, and high complexity tests.
Through the Clinical Laboratory Improvement Amendments (CLIA) Program, CMS regulates all lab testing (with some specific exceptions and state exemptions) done on humans in the U.S. to ensure accurate, reliable, and timely patient test results.
CLIA generally requires all facilities that perform even one applicable test, including waived tests, on materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings to meet
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On each claim, the CLIA number of the laboratory that is actually performing the testing must be reported in item 23 on the CMS-1500 form. Referral laboratory claims are permitted only for independently billing clinical laboratories, specialty code 69.
You can enroll your laboratory in the CLIA program by completing an application (Form CMS-116) available online at .cms.hhs.gov/clia or from your local State Agency. Forward your completed application to the address of the local State Agency for the State in which your laboratory is located.

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