New CLIA Fees Effective 1/7/19
New Mailing Address for Payments
CLIA Laboratory Program
PO Box 3056
Portland, OR 97208-3056..
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:
CLIA Certificate Fee Schedule
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