Welcome to the CMS CLIA Communications Update!

CMS is improving the Clinical Laboratory Improvement Amendments (CLIA) program by switching to electronic fee coupons and CLIA certificates. To take full advantage of these improvements, laboratories and providers that perform laboratory testing have until March 1, 2026, to switch to CMS email notifications and begin receiving electronic CLIA fee coupons and certificates. After this date, paper fee coupons and paper CLIA certificates will no longer be available.

By switching to electronic notifications, your laboratory will get:

• Email notifications from CMS
• Electronic fee coupons*
• Electronic CLIA certificate - no more waiting for it to come in the mail*

*This does not apply to CLIA-exempt states or state licensure.

To switch, you must:

• Provide written notification to your State Agency by email.

                                                                -OR-

• Fill out the CMS-116 application form. To switch to electronic notifications, check the box, “Receive notifications including electronic certificates via email.”

Reach out to your State Agency for assistance. For more details, visit Clinical Laboratory Improvement (CLIA) Amendments.

For more information, visit the CMS CLIA Program website