The clinical laboratory improvement amendments clia regulate laboratory testing and require clinical laboratories to be certified by the center for medicare and medicaid services cms. Laboratories clinical laboratory improvement amendments. Select updates for recommendations for clinical laboratory. This is the first of two articles summarizing federal regulations applicable to clinical laboratories and emphasizing pertinent features of the clinical laboratory improvement amendments of. Staff pdf 124kb recommendations for clinical laboratory improvement amendments of 1988 clia waiver applications for. Select updates for recommendations for clinical laboratory improvement amendments of 1988 clia waiver applications for manufacturers of in vitro diagnostic devices guidance for industry and food and drug administration staff november 2018. Description contents cover title 42 part 493 of the code of federal regulations titled, standards and certification. Research testing and clinical laboratory improvement amendments of 1988 clia regulations the clinical laboratory improvement amendments of 1988 clia were established to. This policy describes the information that is required on certain claims that are reported for laboratory services under the clinical laboratory improvement amendment clia 1988.
Clinical laboratory improvement amendments of 1988 changes. Clinical laboratory improvement amendments of 1988 survey results as a guide for clinical laboratory consultation, laboratory medicine, vo we use. The clinical laboratory improvement amendments of 1988 clia section 353 of the public health service act, codified at 42 u. The clinical laboratory improvement amendments clia of 1988 are united states federal regulatory standards that apply to all clinical laboratory testing performed on humans in the. Clinical laboratory improvement amendments of 1988 clia proficiency testing regulations related to analytes and acceptable performance, 15361567 201828363. Clinical laboratory improvement amendments clia id. Research testing and clinical laboratory improvement amendments of 1988 clia regulations the clinical laboratory improvement amendments of 1988 clia were established to strengthen federal oversight of clinical laboratories to ensure the accuracy and reliability of patient test results. Claims that are submitted for laboratory services subject to the clinical laboratory improvement amendments clia 1988 federal statute and. Clinical laboratory regulation under the clinical laboratory. Understanding the clinical laboratory improvement amendments clia of 1988 is designed to clearly explain the complex federal regulations implementing clia. The clinical laboratory improvement amendments clia regulate laboratory testing and require clinical laboratories to be certificated by their state as well as the center for medicare and medicaid services cms before they can accept human samples for diagnostic testing. Cms116 clinical laboratory improvement amendements.
The clinical laboratory improvement amendments of 1988. Effect of the clinical laboratory improvement amendments of 1988 clia 88 on the incidence of invasive cervical cancer mark helfand, gerald t. Clinical laboratory improvement amendments of 1988 how. Clinical laboratory improvement amendments 42 usc 263a pdf icon external icon source. The clinical laboratory improvement amendments of 1988 clia were established to strengthen federal oversight of clinical laboratories to. The clinical laboratory improvement amendments clia regulate laboratory testing and. No authors listed on october 31, 1988, the president signed into law h. This proposed rule would update proficiency testing pt regulations under the clinical laboratory improvement amendments of 1988 clia to address current analytes that is, substances or constituents for which the laboratory conducts testing and newer technologies. The law continues to be cited as clia 88 as named in legislation. The certificate of a laboratory which has been excluded from participation under the medicare program under title xviii of the social security act because of actions relating to the quality of the laboratory shall be suspended for the period the laboratory is so excluded. Congress passed the clinical laboratory improve ment amendments clia in 1988, establishing quality standards for all nonresearch laboratory test. Clinical laboratory improvement amendments clia toolkit. Access to paid content on this site is currently suspended due to excessive activity being detected from your ip address 40. The objective of the clia program is to ensure accurate and reliable laboratory testing.
Clinical laboratory improvement amendments of 1988 clia 88 standards set for all laboratories to ensure quality patient care. Clinical laboratory improvement amendments clia fda. At its top level, it divides the world of legislation into fifty topicallyorganized titles. In total, clia covers approximately 260,000 laboratory entities.
Clinical laboratory improvement amendments clia cdc. Clinical laboratory improvement amendments clia section. This process involves compliance with the federal clinical laboratory improvement amendments clia of 1988, which requires. These comments are generally focused on the rfis policy proposals specific to. The clinical laboratory improvement amendments of 1988 were passed into law on october 31, 1988. This final rule amends the clinical laboratory improvement amendments of 1988 clia regulations to clarify that the waived test categorization applies only to nonautomated. Clinical laboratory improvement amendments of 1988 clia. Genetic testing and the clinical laboratory improvement. This report examines logical but not yet widely recognized ramifications of the clinical laboratory improvement amendments of 1988 clia88, federal legislation that. Research testing and clinical laboratory improvement. Clia requires all entities that perform even one test, including waived tests on materials derived.
Clinical laboratory improvement amendments wikipedia. Laboratories must comply with the clinical laboratory improvement amendments of 1988. Effect of the clinical laboratory improvement amendments. The clinical laboratory improvement amendments of 1988 statute is an. Clia clinical laboratory improvement amendments of 1988. The clinical laboratory improvement amendments clia were established in 1988 to create standards and monitor quality for all laboratory testing regardless of where the test was. Clinical laboratory improvement amendments clia cms. Clia abbreviation stands for clinical laboratory improvement amendments of. The clinical laboratory improvement amendments of 1988 clia regulations include federal standards applicable to all u. In response to our request for input, cliac established a pt workgroup that included laboratory experts, representatives from accreditation. The clinical laboratory improvement amendments of 1988 statute is an amendment to the public health services act in which congress revised the federal program for certification and oversight of clinical laboratory testing. Government printing office gpo federal digital system external icon.
What is the abbreviation for clinical laboratory improvement amendments of 1988. Department of defense and hhs on the clinical laboratory improvement amendments of 1988 within dod, public law 100578, and part 493 of title 42, code of federal regulations. Clia fees on october 31, 1988, congress enacted the clinical laboratory improvement amendments of 1988 clia pub. Clinical laboratory improvement amendments of 1988 survey. Clinical laboratory improvement amendments of 1988. Clinical laboratory improvement amendments claims that are submitted for laboratory services subject to the clinical laboratory improvement amendments of 1988 clia statute and.
452 1186 732 420 102 583 614 278 1014 891 890 1092 137 501 1543 43 1299 466 1283 1091 1301 1332 607 886 976 209 1392 816 1089 936 806 1148 568 477 405 800