State filing guides
Waived-testing filing requirements by jurisdiction.
Every jurisdiction uses its own official terminology, forms, filing channel, signature rules, fees, and review process. Pick a state to see a dated guide only when its official sources have been reviewed recently. Otherwise, the page requires manual review before WaivedLab states a route, scope, or price.
There is no universal state add-on. The controlling names and process are the ones used by that state's current agency materials.
Alabama
Reviewed 2026-07-24Alabama uses the federal CLIA route and may also require an Independent Clinical Laboratory license; classify the ownership and referral model before filing.
Alaska
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Arizona
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Arkansas
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
California
Reviewed 2026-07-24Federal CMS-116 plus California Laboratory Field Services registration for waived testing.
Colorado
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Connecticut
Reviewed 2026-07-24Connecticut waived-only laboratories are exempt from the state clinical-laboratory license, but a separate blood-collection-facility license can still apply.
Delaware
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
District of Columbia
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Florida
Reviewed 2026-08-13Florida routes an initial Certificate of Waiver through AHCA without a separate state clinical-laboratory facility license, but the personnel-license or statutory-exception path must be confirmed for the specific practice.
Georgia
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Hawaii
Reviewed 2026-07-24Hawaii requires facility classification: qualifying physician-office laboratories are exempt, while other waived-only sites need a Class I state permit in addition to CLIA.
Idaho
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Illinois
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Indiana
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Iowa
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Kansas
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Kentucky
Reviewed 2026-07-24Kentucky medical-laboratory licensure applies unless the specific practice model fits a statutory exemption.
Louisiana
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Maine
Reviewed 2026-07-24Maine has a separate Medical Laboratory license; limited own-patient practice exemptions depend on the exact provider and operating model.
Maryland
Reviewed 2026-07-24Maryland waived testing requires the federal Certificate of Waiver plus a Maryland laboratory permit or Letter of Exception.
Massachusetts
Reviewed 2026-07-24Massachusetts laboratories performing exclusively CLIA-waived testing are exempt from the state clinical-laboratory license.
Michigan
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Minnesota
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Mississippi
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Missouri
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Montana
Reviewed 2026-07-24Montana follows the federal CLIA route and publishes no additional state-specific laboratory regulation for waived testing.
Nebraska
Reviewed 2026-07-24Nebraska requires federal CLIA certification but does not license CLIA laboratories or laboratory personnel separately.
Nevada
Reviewed 2026-07-29Nevada requires state laboratory authorization in addition to the federal CLIA pathway; the clinic must be classified for qualifying exempt registration versus general laboratory licensure.
New Hampshire
Reviewed 2026-07-24New Hampshire requires a state laboratory license and specific waived-only director qualifications in addition to CLIA.
New Jersey
Reviewed 2026-07-24New Jersey requires both the federal CMS-116 Certificate of Waiver route and a state Clinical Laboratory License application for CLIA-waived tests only.
New Mexico
Reviewed 2026-07-24New Mexico's State Agency processes CMS-116; current official materials do not resolve whether every facility and test model avoids an additional state laboratory requirement.
New York
Reviewed 2026-07-24New York is CLIA-exempt: use the NYS DOH/CLEP Limited Service Laboratory registration instead of filing a separate federal CMS-116.
North Carolina
Reviewed 2026-07-24North Carolina processes the federal CMS-116 through DHSR; use the current electronic submission channel.
North Dakota
Reviewed 2026-07-24North Dakota uses the federal CLIA pathway and publishes a state Laboratory Tests Performed form for the packet.
Ohio
Reviewed 2026-07-24Ohio generally uses the federal CLIA route, with additional requirements for certain facility types and analytes.
Oklahoma
Reviewed 2026-07-24Oklahoma processes the federal CMS-116 through the state Medical Facilities service.
Oregon
Reviewed 2026-07-24Oregon does not require a separate clinical-laboratory license in addition to CLIA for an ordinary waived-only laboratory.
Pennsylvania
Reviewed 2026-08-13Pennsylvania requires a state clinical-laboratory permit packet in addition to CMS-116.
Puerto Rico
Manual review requiredNo current route is stated here. WaivedLab must verify the agency's current terminology, forms, channel, signatures, and fees before confirming scope or price.
Rhode Island
Reviewed 2026-07-24Rhode Island requires a state clinical-laboratory license in addition to federal CLIA certification.
South Carolina
Reviewed 2026-07-24South Carolina uses CMS-116 plus the current state CLIA packet supplied by DPH.
South Dakota
Reviewed 2026-07-24South Dakota follows the federal CLIA pathway; there is no general separate state clinical-laboratory application or license.
Tennessee
Reviewed 2026-07-24Tennessee laboratory requirements depend on the facility model; confirm applicability with the Medical Laboratory Board before relying on a federal-only waived-testing route.
Texas
Reviewed 2026-08-13Texas routes a new Certificate of Waiver through HHSC using CMS-116 plus Form 3225, an ownership supplement rather than a separate state laboratory license.
Utah
Reviewed 2026-07-24Utah administers the federal CLIA route and asks for an Ownership and Controlling Interest form with the packet.
Vermont
Reviewed 2026-07-24Vermont processes CMS-116 and also has a statutory clinical-laboratory registration provision whose applicability must be confirmed for the facility.
Virginia
Reviewed 2026-07-24Virginia administers the federal CLIA route and does not separately license clinical laboratories or laboratory personnel.
Washington
Reviewed 2026-07-24Washington is CLIA-exempt: use the Medical Test Site Certificate of Waiver pathway instead of filing a separate federal CMS-116.
West Virginia
Reviewed 2026-07-24West Virginia's Office of Laboratory Services processes the federal CMS-116 route.
Wisconsin
Reviewed 2026-07-24Wisconsin ordinary waived clinical laboratories use CMS-116; separate state permits target alcohol or controlled-substance testing programs.
Wyoming
Reviewed 2026-07-24Wyoming administers the federal CMS-116 route and publishes no separate state waived-laboratory fee.