Healthy Communities

CLIA (Clinical Laboratory Improvement Act)

The objective of the CLIA program is to ensure quality laboratory testing.  Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities. The program is administered by the federally regulated Centers for Medicare & Medicaid Services (CMS) agency.

The CMS CLIA website has information such as Regulations, forms, brochures, etc.

State Operations Manual, Appendix CSurvey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services (Federal Program):

Applications & Change of Ownership (CHOW):

Requests for New Provider Applications (CMS116) or CHOW Applications should be submitted via mail, email or fax to the ADH Health Facility Services office, listed below.
Applications & Change of Ownership (CHOW):

Requests for New Provider Applications (CMS116) or CHOW Applications should be submitted via mail, email or fax to the ADH Health Facility Services office, listed below.

Completed applications for New Providers or Change of Ownership should be submitted to Health Facility Services via mail, email or fax.

Click here for CLIA Frequently Asked Questions.

Office Address Phone Fax
Health Facility Services 5800 W. 10th St., Suite 400
Little Rock, AR  72204
501-661-2201 501-661-2165

 

Public Health Accrediation Board
Arkansas Department of Health
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4815 W. Markham, Little Rock, AR 72205-3867 | 1-800-462-0599