Clinical Laboratory Improvement Amendments (Clia) State Agency . - Cms

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CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSALABAMAALABAMA DEPARTMENT OF PUBLIC HEALTHDivision of Health Care FacilitiesCLIA ProgramP.O. Box 303017Montgomery, AL 36130-3017(334) 206-5120FAX: (334) 206-5254Email: CLIAAlabama@adph.state.al.usALASKAAlaska CLIA ProgramAlaska State Public Health Laboratory5455 Dr. Martin Luther King Jr. Ave.Anchorage, Alaska 99507(907) 334-2112FAX: (907) 334-2161Email: CLIA-HSSLab@alaska.govWebsite: ************************For laboratories in American Samoa, contact the CMS San Francisco location.DHHS/CMS/DSC/CLIA90 7th Street, Suite 5-300 (5W)San Francisco, CA 94103-6707(415) 744-3696FAX # (443) 380-5021Email: CLIA SanFrancisco A DEPARTMENT OF HEALTH SERVICESDivision of Public Health ServicesOffice of Laboratory Licensing and Certification250 N. 17TH AvenuePhoenix, AZ 85007(602) 364-0720FAX: (602) 364-0759June 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSARKANSASHEALTH FACILITY SERVICES Slot H9Arkansas Department of Health and Human Services5800 West 10th Street, Suite 400Little Rock, AR 72204-9916(501) 661-2201FAX: (501) 280-4930Email: adh.hfs@arkansas.govCALIFORNIACALIFORNIA DEPARTMENT OF PUBLIC HEALTHDivision of Laboratory ScienceLaboratory Field Services320 W 4TH ST STE 890LOS ANGELES CA 90013-2398(213) 620-6160FAX: (213) 620-6565Email: LFSCLIA@cdph.ca.govCOLORADOCOLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENTLaboratory Services Division8100 Lowry Blvd.Denver, CO 80230-6928(303) 692-3681FAX: (303) 344-9965Email: cdphe cliaprogram@state.co.usCONNECTICUTCONNECTICUT DEPARTMENT OF PUBLIC HEALTHP.O. Box 340308410 Capitol Avenue, MS#12 FLISHartford, CT 06134-0308(860) 509-7400FAX: (860) 706-5805Email: DPH.FLISLab@ct.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSDELAWAREDELAWARE STATE PUBLIC HEALTH LABORATORY30 Sunnyside RoadSmyrna, DE 19977(302) 223-1392FAX: (302) 223-1099Email: CLIA.delaware@delaware.govDISTRICT OF COLUMBIA (DC)DC HEALTHGovernment of the District of ColumbiaHealth Regulations and Licensing AdministrationHealth Care Facilities Division899 North Capitol Street, NE 2nd floorWashington, DC 20002Office: (202) 727-1740Fax: (202) 442-9431Email: DCHealth.CLIA@dc.govWebsite: -licensing-administrationFLORIDASTATE OF FLORIDAAgency for Health Care AdministrationLaboratory Licensing Unit2727 Mahan Drive, Mail Stop 32Tallahassee, FL 32308(850) 412-4500FAX: (850) 410-1511Email: LABSTAFF@ahca.myflorida.comFor complaints, please call toll-free Complaint Hotline: (888) 419-3456GEORGIAGEORGIA DEPARTMENT OF COMMUNITY HEALTHHealthcare Facility Regulation DivisionDiagnostic Services Unit2 Peachtree Street, N.W.Suite 31-447Atlanta, GA 30303-3142(404) 657-5700Email: hfrd.diagnostic@dch.ga.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY ***********************Laboratories located in Guam should contact the CMS San Francisco location.DHHS/CMS/DSC/CLIA90 7th Street, Suite 5-300 (5W)San Francisco, CA 94103-6707(415) 744-3696FAX # (443) 380-5021Email: CLIA SanFrancisco *********************************HAWAIIHAWAII DEPARTMENT OF HEALTHCLIA Program601 Kamokila Boulevard, Room 395Kapolei, HI 96707(808) 692-7420FAX: (808) 692-7447Email: doh.ohcamco@doh.hawaii.govIDAHOLABORATORY IMPROVEMENT SECTIONIdaho Bureau of Laboratories2220 Old Penitentiary RoadBoise, ID 83712-8299(208) 334- 0528FAX: (208) 334-4067Email: labimprovement@dhw.idaho.govWebsite: nILLINOISILLINOIS DEPARTMENT OF PUBLIC HEALTHDivision of Health Care Facilities & Programs525 W. Jefferson Street Fourth FloorSpringfield, IL 62761Phone: (217) 782-6747FAX: )217) 782-0382Email: DPH.CLIA@illinois.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSINDIANAINDIANA DEPARTMENT OF PUBLIC HEALTHDivision of Acute Care Services2 North Meridian Street, Room 4AIndianapolis, IN 46204(317) 233-7502FAX: (317) 233-7157Email: IndianaCLIA@isdh.IN.govIOWAIowa CLIA Laboratory ProgramState Hygienic LaboratoryUniversity of Iowa Research Park2490 Crosspark RoadCoralville, IA 52241(319) 335-4500 or (800) 421-IOWAFAX: (319) 335-4174Email: shl-clia@uiowa.eduKANSASKANSAS HEALTH & ENVIRONMENTCLIA Laboratory Certification6810 SE Dwight StreetTopeka, KS 66620(785) 296-3811FAX: (785) 559-5207Email: kdhe.clia2@ks.govKENTUCKYKENTUCKY CLIA PROGRAMOffice of Inspector GeneralDivision of Healthcare275 East Main Street, 5E-AFrankfort, KY 40621-0001(502) 564-7963 Ext 3322FAX: (502) 564-6546Email: KYCLIALabinquiries@ky.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSLOUISIANADEPARTMENT OF HEALTH & HOSPITALSHealth Standards SectionCLIA Program628 North 4th Street, 3rd Floor Bienville BuildingBaton Rouge, LA 70802Phone: (225) 342-9324Fax: (225) 342-0157Website: http://ldh.la.gov/index.cfm/page/3766MAINECLIA PROGRAMDivision of Licensing & Regulatory Services41 Anthony Avenue, Station #11Augusta, ME 04333-0011(207) 287-9339FAX: (207) 287-9304Email: CliaLab.DHHS@maine.govMARYLANDMARYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENEOffice of Health Care Quality - Labs7120 Samuel Morse DriveSecond FloorColumbia, Maryland 21046-3422(410) 402-8025FAX: (410) 402-8213Email: OHCQ.labs@maryland.govMASSACHUSETTSClinical Laboratory ProgramDivision of Health Care Facility Licensure and CertificationMassachusetts Department of Public Health67 Forest StreetMarlborough, MA 01752(617) 660-5385FAX: (617) 753-8240Email: CLIALab@mass.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSMICHIGANMichigan Department of Licensing and Regulatory Affairs (LARA)BHCS – Laboratory Improvement Section611 W. Ottawa StreetP.O. Box 30664Lansing, MI 48909Phone: (517) 241-2648Fax: (517) 241-3354Email: BCHS-CLIA@michigan.govWebsite: www.michigan.gov/cliaMINNESOTAMinnesota Department of HealthCLIA ProgramP.O. Box 64900St Paul, MN 55164-0900Phone: (651) 201-4120Email: health.clia@state.mn.usMISSISSIPPIMississippi State Dept of HealthLicensure and Certification/CLIAP.O. Box 1700Jackson, MS 39215(601) 364-1115FAX: (601) 364-5053Email: CLIA-MSDH@msdh.ms.govMISSOURIMISSOURI CLIA LABORATORY PROGRAMBureau of Diagnostic ServicesDepartment of Health & Senior Services920 Wildwood, PO Box 570Jefferson City, MO 65102(573) 751-6318FAX: (573) 751-6158Email: CLIA@health.mo.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSMONTANAMONTANA CLIA PROGRAMOffice of Inspector General of Department of Public Health & Human ServicesCertification Bureau2401 Colonial Drive, 2nd FloorPO Box 202953Helena, MT 59620-2953(406) 444-2099 or (406) 558-9502FAX: (406) 444-3456Email: MTSSAD@mt.govNEBRASKANEBRASKA DEPT. of HEALTH & HUMAN SERVICESDivision of Public Health - Licensure UnitOffice of Acute Care FacilitiesP O Box 94669Lincoln, NE 68509-4660(402) 471-3484FAX: (402) 471-0555Email: DHHS.acutecarefacilities@nebraska.govNEVADAState of Nevada Department of Health and Human ServicesHealth DivisionBureau of Health Care Quality & Compliance727 Fairview Dr Ste ECarson City, NV 89701-5493(702) 486-6515FAX: (775) 684-1073Email: pbhmedlabs@health.nv.govNEW HAMPSHIREHEALTH FACILITIES ADMINISTRATIONDepartment of Health & Human Services129 Pleasant StreetConcord, NH 03301(603) 271-9048FAX: (603) 271-8716Email: CLIA@dhhs.nh.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSNEW JERSEYNew Jersey Department of HealthClinical Laboratory Improvement Service (CLIS)P.O. Box 361Trenton, NJ 08625-0361(609) 406-6824FAX: (609) 406-6827Email: CLIAlab@doh.nj.govNEW MEXICOHealth Facility Licensing & Certification BureauBank of the West Building5301 Central Avenue NW, Suite 1520Albuquerque, NM 87108(505) 222-8646FAX: (505) 265-0290Email: CLIA.DHI@state.nm.usWebsite: For Physician Office Laboratories in New York:Physician Office Laboratory Evaluation ProgramBiggs LaboratoryWadsworth CenterNYS Department of HealthEmpire State PlazaAlbany, NY 12237(518) 485-5352Email: clia@health.ny.govWebsite: https://www.wadsworth.org/regulatory/polepFor All Other Laboratory Facility Types in New York:CLINICAL LABORATORY EVALUATION PROGRAMBiggs LaboratoryWadsworth CenterNYS Department of HealthEmpire State PlazaAlbany, NY 12237(518) 485-5378Fax: (518) 485-5414Email: clep@health.ny.govWebsite: https://www.wadsworth.org/regulatory/clepJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSNORTH CAROLINANORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICESDivision of Health Service Regulation/CLIA Certification2713 Mail Service CenterRaleigh, NC 27699-2713(919) 855-4620FAX: (919) 733-0176Email: DHSR.CLIA@dhhs.nc.govNORTH DAKOTANorth Dakota Department of HealthDivision of Health Facilities1720 Burlington Dr Suite ABismarck ND 58504-7736(701) 328-2352Fax: (701) 328-1890Email: *****************************Laboratories located in Saipan, Rota or Tinian (The Commonwealth of theNorthern Mariana Islands; CNMI) should contact the CMS San Francisco location.DHHS/CMS/DSC/CLIA90 7th Street, Suite 5-300 (5W)San Francisco, CA 94103-6707(415) 744-3696FAX # (443) 380-5021Email: CLIA SanFrancisco *********************************OHIOOHIO DEPARTMENT OF HEALTHCLIA Laboratory Program246 N. High Street, 2nd FloorColumbus, OH 43215(614) 644-1845FAX: (614) 564-2478Email: CLIA@odh.ohio.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSOKLAHOMAOKLAHOMA STATE DEPARTMENT OF HEALTHProtective Health ServicesMedical Facilities123 Robert S. Kerr Ave. Suite 1702Oklahoma City, OK 73102(405) 426-8470FAX: (405) 900-7559Email: clia@health.ok.govWebsite: mfs.health.ok.govOREGONOregon State Public Health Laboratory (OSPHL)Laboratory Compliance Section7202 NE Evergreen Parkway, Suite 100Hillsboro, OR 97124(503) 693-4125FAX: (503) 693-5602Email: IA DEPARTMENT OF HEALTHBureau of Laboratories110 Pickering WayExton, PA 19341(610) 280-3464FAX: (610) 450-1932Email: RA-DHPACLIA@pa.govWebsite: tory-Improvement.aspxPUERTO RICOCOMMONWEALTH OF PUERTO RICOPuerto Rico Health DepartmentOffice of Certification & Licensure1090 Marginal Ruiz SolerBayamón, P.R. 00961-7329787-782-0120 ext 4738FAX: (787) 781-2088Email: clialab@salud.pr.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSRHODE ISLANDRI DEPARTMENT OF HEALTHDivision of Facilities Regulation3 Capitol Hill, Room 306Providence, RI 02908(401) 222-2721FAX: (401) 222-3999Email: DOH.OFR@health.ri.govSOUTH CAROLINASOUTH CAROLINA DEPARTMENT OF HEALTH & ENVIRONMENTALCONTROLBureau of Certification/Health Regulation2600 Bull StreetColumbia, SC 29201(803) 545-4291FAX (803) 545-4563Email: SC CLIA@dhec.sc.govSOUTH DAKOTASOUTH DAKOTA DEPARTMENT OF HEALTHOffice of Health Care Facilities Licensure & Certification600 E CapitolPierre SD 57501(605) 394-6173FAX: (605) 773-6667Email: SDCLIA@state.sd.usTENNESSEETENNESSEE HEALTH CARE FACILITIES665 Mainstream DriveSecond FloorNashville, TN 37243(615) 741-7023FAX: (615) 532-2700Email: CLIA.Health@tn.govWebsite: ratory-improvementamendments.htmlJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSTEXASTexas Health and Human ServicesHealth Facility Compliance – CLIA MC 1979P.O. Box 149030Austin, TX 78714-9030FAX : (512) 438-5973Regional Contacts:Arlington Region (2 & 3)817-264-4752FAX: 817-264-4760Email: CLIA.Arlington@hhs.texas.govSan Antonio Region (8 &11)210-531-7397FAX: 210-531-7793Email: CLIA.SanAntonio@hhs.texas.govHouston Region (6)713-767-3340FAX: 713-767-3367Email: CLIA.Houston@hhs.texas.govTyler Region (4 & 5)903-533-5214FAX: 903-535-7594Email: CLIA.Tyler@hhs.texas.govAustin Region (includes West Texas) (1, 7, 9, & 10)512-438-5952 or 737-228-8061FAX: 512-438-5973Email: CLIA.Austin@hhs.texas.govA detailed Texas HHSC regional map can be found /documents/about-hhs/hhs-regional-map.pdfJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSUTAHUnified State Laboratories: Public HealthBureau of Laboratory Improvement4431 South 2700 WestTaylorsville UT 84129(385) 499-3872FAX: (801) 536-0149Email: labimprovement@utah.govU.S. VIRGIN ISLANDSDHHS/CMS/ DCLIQ CLIA Program26 Federal Plaza Room 37-130New York, NY 10278(212) 616-2450FAX: (443) 616-2403Email: CMSCLIA NewYork Office@cms.hhs.govVIRGINIAVIRGINIA DEPARTMENT OF HEALTHOffice of Licensure and Certification9960 Mayland Drive, Suite 401Richmond, VA 23233(804) 367-2107FAX: (804) 527-4504Email: CLIAlab@vdh.virginia.govVERMONTLaboratories located in Vermont should contact the New Hampshire State Agency:HEALTH FACILITIES ADMINISTRATIONDepartment of Health & Human Services129 Pleasant StreetConcord, NH 03301(603) 271-9048FAX: (603) 271-8716Email: CLIA@dhhs.nh.govJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSWEST VIRGINIAWest Virginia Department of HealthOffice of Laboratory Service167 11th AvenueSouth Charleston, WV 25303-1137(30) 205-8913FAX: (304) 746-0658Email: DHHROLSCLIA@wv.govWASHINGTONHSQA/IIO-Laboratory Quality Assurance20425 72nd Ave S Ste 310Kent, WA 98032(253) 395-6745FAX: (253) 395-6365Email: te/LaboratoryQualityAssuranceJune 15, 2022

CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA)STATE AGENCY CONTACTSWEST VIRGINIAWEST VIRGINIA DEPARTMENT OF HEALTHOffice of Laboratory Services167 11TH AvenueSouth Charleston, WV 25303-1137(304) 205-8913FAX: (304) 746-0658Email: DHHROLSCLIA@wv.govWISCONSINWISCONSIN DEPARTMENT OF HEALTH SERVICESDivision of Quality AssuranceClinical Laboratory Section1 West Wilson StreetP.O. Box 2969Madison, WI 53701-2969Phone: (608) 261-0654Fax: (608) 283-7462Email: DHSDQACLIA@dhs.wisconsin.govWYOMINGWyoming Department of HealthAging Division, Healthcare Licensing and SurveysHathaway Building, Suite 5102300 Capitol AvenueCheyenne, WY 82002Phone: (307) 274- 7524Fax: (307) 777-7127Email: wdh-ohls@wyo.govJune 15, 2022

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