CLIA Certificate of Waiver requirements by state.

Alabama: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Alaska: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Arizona checklist starts with CMS-116 through Arizona DHS laboratory certification contacts.

Arkansas: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

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

Colorado: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Connecticut: the CLIA Certificate of Waiver uses the federal CMS-116 application; labs may be exempt from separate state licensure when tests are CLIA-waived.

Delaware: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

District of Columbia: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Florida checklist starts with CMS-116, with state agency routing and exact test listing.

Georgia appears in the state overlay workbook as a state licensure packet route.

Hawaii: submit (1) CLIA Application for Certification (CMS-116); (2) Disclosure of Ownership and Control Interest Statement; and (3) Hawaii Department of Health Application for Clini…

Idaho: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Illinois: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Indiana: submit (1) CLIA Application for Certification (CMS-116); (2) Disclosure of Ownership; and (3) Methodology Test List.

Iowa: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Kansas: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Kentucky: the CLIA Certificate of Waiver uses the federal CMS-116 application; labs may be exempt from separate state licensure when tests are CLIA-waived.

Louisiana: submit (1) CLIA Application for Certification (CMS-116); and (2) List of Tests Performed in the Facility.

Maine: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Maryland: apply for a "Letter of Exception" by submitting (1) Maryland State Compliance Application; and (2) CLIA Application for Certification (CMS-116).

Massachusetts has a state Clinical Laboratory Program layer in addition to the CLIA certificate path.

Michigan: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Minnesota: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Mississippi: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Missouri: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Montana: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Nebraska: submit (1) CLIA Application for Certification (CMS-116); (2) CLIA Ownership Information Form; and (3) List of tests performed.

Nevada uses a state medical laboratory licensing route for exempt laboratories.

New Hampshire: submit Application for Residential and or Health Care License (Laboratories and Collecting Stations).

New Jersey: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

New Mexico: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Use New York DOH/CLEP limited-service laboratory registration instead of assuming a federal-only path.

North Carolina is a CMS-116 state-agency route with mail or fax handling in older state summaries.

North Dakota: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Ohio: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Oklahoma: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Oregon: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Pennsylvania: submit a Clinical Laboratory Permit Application and CLIA Application for Certification (CMS-116).

Rhode Island: use the federal CMS-116 Certificate of Waiver, or a state clinical-laboratory licensure option.

South Carolina: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

South Dakota: submit written request for information to license and/or certify specific facility type.

Tennessee: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Texas routes CLIA applications through HHSC and requires its Form 3225 supplement.

Utah: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Vermont: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Virginia: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Washington uses the Medical Test Site license pathway; the state program is CLIA-exempt.

West Virginia: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Wisconsin: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.

Wyoming: the CLIA Certificate of Waiver uses the federal CMS-116 application; no separate state clinical-laboratory license is listed for waived testing.