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Wisconsin MedicaidCertification and Ongoing Responsibilities1 Page 1 of 90Wisconsin MedicaidArchive Date:04/01/2009Certification and Ongoing Responsibilities:CertificationBorder Status Providers A
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How to fill out clia certification or waiver

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How to fill out clia certification or waiver

01
To fill out a CLIA certification or waiver, follow these steps:
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Determine if you qualify for a CLIA waiver or if you need a full CLIA certification. A CLIA waiver is for facilities that perform only waived tests, while a CLIA certification is required for non-waived tests.
03
Collect all the necessary documentation, such as the CLIA application form, proof of accreditation, and any required fees.
04
Complete the CLIA application form accurately and provide all the requested information, including the facility details, personnel information, and testing methods used.
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Attach any supporting documents or certifications that may be required, such as laboratory director qualifications or proof of quality control procedures.
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Review the completed application form and ensure all the information is correct and legible.
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Submit the application form along with any required documentation and fees to the appropriate CLIA certification or waiver agency.
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Await the review and approval process. This may involve an inspection of your facility and review of your testing procedures.
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Once approved, you will receive your CLIA certification or waiver. Make sure to display it prominently in your facility.
10
Comply with all CLIA regulations and maintain proper records to ensure ongoing compliance.

Who needs clia certification or waiver?

01
Any facility that performs laboratory testing on human specimens to diagnose, prevent, or treat disease or assess health needs CLIA certification or waiver.
02
This includes:
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- Hospitals
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- Clinics
05
- Physician offices
06
- Nursing homes
07
- Independent laboratories
08
- Blood banks
09
- Public health laboratories
10
- Research facilities
11
However, some laboratories may be exempt from CLIA regulations, such as those performing tests for forensic purposes, veterinary testing, or tests for personal research.
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CLIA certification or waiver refers to the compliance with the Clinical Laboratory Improvement Amendments (CLIA) which regulate laboratory testing and ensure that laboratories meet certain standards for accuracy, reliability, and timeliness of test results. A 'waiver' indicates that a laboratory performs tests that are simple enough not to require full certification.
Any laboratory that conducts tests on human specimens for health assessment or diagnosis must file for CLIA certification or waiver, including hospitals, clinics, physician offices, and independent labs.
To fill out a CLIA certification or waiver, applicants need to complete the appropriate form available from the CMS (Centers for Medicare & Medicaid Services) website, provide necessary information about the laboratory, and submit it, usually along with the required fee.
The purpose of CLIA certification or waiver is to ensure the quality and integrity of laboratory testing, safeguard public health by ensuring accurate test results, and provide regulations governing laboratory operations.
The information that must be reported includes laboratory name, location, type of tests performed, ownership details, and the qualifications of personnel, among other operational details.
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