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Versions	Form popularity	Fillable & printable
CMS-116 2020	4.8 Satisfied (191 Votes)
CMS-116 2017	4.2 Satisfied (71 Votes)
CMS-116 2015	4.1 Satisfied (56 Votes)
CMS-116 2014	4.4 Satisfied (459 Votes)
CMS-116 2010	4.2 Satisfied (38 Votes)
CMS-116 2007	4 Satisfied (38 Votes)

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What is a CLIA application?

The CLIA application (Form CMS-116) collects information about your laboratory's operation which is necessary to determine the fees to be assessed, to establish baseline data and to fulfill the statutory requirements for CLIA. This information will also provide an overview of your facility's laboratory operation.

What is CLIA certificate?

The Clinical Laboratory Improvement Amendments (CLIA) regulate laboratory testing and require clinical laboratories to be certified by the Center for Medicare and Medicaid Services (CMS) before they can accept human samples for diagnostic testing.

What are three types of CLIA licenses?

Certificate of Waiver. Certificate for Provider-Performed Microscopy Procedures (PPMP) Certificate of Registration. Certificate of Compliance. Certificate of Accreditation.

How do I fill out CMS 116?

2:53 12:00 How to Complete a CMS 116 Application - YouTube YouTube Start of suggested clip End of suggested clip Process. Section 1 general information section 1 contains fields to enter a facility's demographicMoreProcess. Section 1 general information section 1 contains fields to enter a facility's demographic information the first part of this section describes the purpose of the application.

How do I fill out CMS 116?

2:53 12:00 How to Complete a CMS 116 Application - YouTube YouTube Start of suggested clip End of suggested clip Process. Section 1 general information section 1 contains fields to enter a facility's demographicMoreProcess. Section 1 general information section 1 contains fields to enter a facility's demographic information the first part of this section describes the purpose of the application.

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