IMPORTANT NOTICE – PLEASE READ
If your laboratory receives a CLIA fee with a pink slip, this fee needs to be paid within two weeks of the date of the notice to avoid termination of your CLIA certificate. If your CLIA certificate terminates, you are no longer allowed to test or get reimbursed for testing. CLIA fees may be paid on www.pay.gov to ensure timely processing.
If your laboratory has closed, please provide written notification to the State Agency in the state the laboratory is located. Written notification must include laboratory name, CLIA number, name of the Laboratory Director and/or Owner, and the signature of the Laboratory Director.
Workplace COVID-19 Testing Information
CLIA payments may be sent to:
CLIA Laboratory Program
PO Box 3056
Portland, OR 97208-3056
Or to pay your CLIA fees online please click here
CLIA Application for Certification (CMS-116)
Complete a CLIA Application, in its entirety, for any of the following, and mail to: Healthcare Licensing and Surveys, Hathaway Building, Suite 510, 2300 Capitol Avenue, Cheyenne, WY 82002
− Initial Laboratory Certification
− Change in certification type
− Change in provider name
− Change in address, telephone number, etc.
− Change in laboratory director
Not a Wyoming laboratory? Refer to the Federal CLIA page for contact information in your state.
Federal Resources for Clinical Laboratories:
CMS CLIA Information
CLIA Regulations and Federal Register Documents
Interpretive Guidelines for Laboratories
State Operations Manual – Revisions to Chapter 6: “Special Procedures for Laboratories“
CDC Health Advisory: CDC Recommendations for Diagnosing and Managing Shigella Strains with Possible Reduced Susceptibility to Ciprofloxacin