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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 2026-07-24

Alabama 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 required

No 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 required

No 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 required

No 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 2026-07-24

Federal CMS-116 plus California Laboratory Field Services registration for waived testing.

Colorado

Manual review required

No 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 2026-07-24

Connecticut waived-only laboratories are exempt from the state clinical-laboratory license, but a separate blood-collection-facility license can still apply.

Delaware

Manual review required

No 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 required

No 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 2026-08-13

Florida 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 required

No 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 2026-07-24

Hawaii 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 required

No 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 required

No 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 required

No 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 required

No 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 required

No 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 2026-07-24

Kentucky medical-laboratory licensure applies unless the specific practice model fits a statutory exemption.

Louisiana

Manual review required

No 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 2026-07-24

Maine has a separate Medical Laboratory license; limited own-patient practice exemptions depend on the exact provider and operating model.

Maryland

Reviewed 2026-07-24

Maryland waived testing requires the federal Certificate of Waiver plus a Maryland laboratory permit or Letter of Exception.

Massachusetts

Reviewed 2026-07-24

Massachusetts laboratories performing exclusively CLIA-waived testing are exempt from the state clinical-laboratory license.

Michigan

Manual review required

No 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 required

No 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 required

No 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 required

No 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 2026-07-24

Montana follows the federal CLIA route and publishes no additional state-specific laboratory regulation for waived testing.

Nebraska

Reviewed 2026-07-24

Nebraska requires federal CLIA certification but does not license CLIA laboratories or laboratory personnel separately.

Nevada

Reviewed 2026-07-29

Nevada 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 2026-07-24

New Hampshire requires a state laboratory license and specific waived-only director qualifications in addition to CLIA.

New Jersey

Reviewed 2026-07-24

New 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 2026-07-24

New 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 2026-07-24

New York is CLIA-exempt: use the NYS DOH/CLEP Limited Service Laboratory registration instead of filing a separate federal CMS-116.

North Carolina

Reviewed 2026-07-24

North Carolina processes the federal CMS-116 through DHSR; use the current electronic submission channel.

North Dakota

Reviewed 2026-07-24

North Dakota uses the federal CLIA pathway and publishes a state Laboratory Tests Performed form for the packet.

Ohio

Reviewed 2026-07-24

Ohio generally uses the federal CLIA route, with additional requirements for certain facility types and analytes.

Oklahoma

Reviewed 2026-07-24

Oklahoma processes the federal CMS-116 through the state Medical Facilities service.

Oregon

Reviewed 2026-07-24

Oregon does not require a separate clinical-laboratory license in addition to CLIA for an ordinary waived-only laboratory.

Pennsylvania

Reviewed 2026-08-13

Pennsylvania requires a state clinical-laboratory permit packet in addition to CMS-116.

Puerto Rico

Manual review required

No 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 2026-07-24

Rhode Island requires a state clinical-laboratory license in addition to federal CLIA certification.

South Carolina

Reviewed 2026-07-24

South Carolina uses CMS-116 plus the current state CLIA packet supplied by DPH.

South Dakota

Reviewed 2026-07-24

South Dakota follows the federal CLIA pathway; there is no general separate state clinical-laboratory application or license.

Tennessee

Reviewed 2026-07-24

Tennessee 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 2026-08-13

Texas 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 2026-07-24

Utah administers the federal CLIA route and asks for an Ownership and Controlling Interest form with the packet.

Vermont

Reviewed 2026-07-24

Vermont processes CMS-116 and also has a statutory clinical-laboratory registration provision whose applicability must be confirmed for the facility.

Virginia

Reviewed 2026-07-24

Virginia administers the federal CLIA route and does not separately license clinical laboratories or laboratory personnel.

Washington

Reviewed 2026-07-24

Washington is CLIA-exempt: use the Medical Test Site Certificate of Waiver pathway instead of filing a separate federal CMS-116.

West Virginia

Reviewed 2026-07-24

West Virginia's Office of Laboratory Services processes the federal CMS-116 route.

Wisconsin

Reviewed 2026-07-24

Wisconsin ordinary waived clinical laboratories use CMS-116; separate state permits target alcohol or controlled-substance testing programs.

Wyoming

Reviewed 2026-07-24

Wyoming administers the federal CMS-116 route and publishes no separate state waived-laboratory fee.