The Clinical Laboratory Improvement Amendments (CLIA) were passed by Congress in 1988 establishing quality standards for all laboratory testing to ensure the accuracy, reliability and timeliness of patient test results regardless of where the test was performed.
A laboratory under CLIA is defined as any facility which performs laboratory testing on specimens derived from humans for the purpose of providing information for the diagnosis, prevention, treatment of disease, or impairment of, or assessment of health.
The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 189,000 laboratory entities. The Division of Laboratory Services, within the Survey and Certification Group, under the Center for Medicaid and State Operations (CMSO) has the responsibility for implementing the CLIA Program.
The Indiana Department of Health (IDOH) inspects laboratories for compliance with the standards and specific requirements with CLIA. IDOH surveyors visit laboratories bi-annually for certificate of compliance or more often if complaints are filed about a laboratory.
Report a Complaint or Incident
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.
Report a complaint
The Incident Report Form is for health care facilities to notify the Indiana Department of Health of a reportable incident pursuant to the IDOH Reportable Unusual Occurrence Policy. The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations. This form is not to be used to file a complaint.
Consumer Information
Program Information and Policies
Forms
All forms (CMS 116 CLIA Application, Enclosure A Disclosure of Ownership and Enclosure I Methodology Test list) must be completed and signed and appropriate documentation attached for initial certificates and most changes of certificate type.
- The CMS 116 CLIA Application and Enclosure A Disclosure of Ownership are completed for change of ownership and Tax ID.
- The CMS 116 CLIA Applications may be completed for any changes.
- CMS 116 CLIA Application
- Enclosure A Disclosure of Ownership
- Enclosure I Methodology Test List
Contact
| Indiana Department of Health Division of Acute Care 2 North Meridian Street, 4A Indianapolis, IN 46204 | Program Manager |
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IDOH Main Switchboard: 317-233-1325 Acute Care Receptionist: 317-233-7474 |
317-233-7502 Administrative Assistant: 317-233-7495 |