Clia application 2014 form: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to change Clia application 2014 form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation takes only some simple clicks. Make these fast steps to change the PDF Clia application 2014 form online for free:

Sign up and log in to your account. Sign in to the editor using your credentials or click on Create free account to examine the tool’s capabilities.
Add the Clia application 2014 form for redacting. Click the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or via a link.
Adjust your file. Make any adjustments needed: insert text and pictures to your Clia application 2014 form, underline important details, remove parts of content and replace them with new ones, and insert symbols, checkmarks, and areas for filling out.
Finish redacting the form. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and efficient. Try it out now!

See more clia application 2014 form versions

We've got more versions of the clia application 2014 form form. Select the right clia application 2014 form version from the list and start editing it straight away!

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

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

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.

Related forms

be ready to get more