The application for CLIA certification, Form CMS-116, isavailable on the CMS website. Once completed, the application must be delivered to the local agency for the state in which the laboratory facility is located. (A current list of state agencies can be found on theCMS website.) Some sur...
How to submit a CLIA application? Related links Pub 100-04 Medicare Claims Processing Nov 3, 2014 Also, the CLIA number of the reference laboratory shall be reported in item 23 on the. CMS-1500 claim form. A paper claim that does not have the Learn more Try...