Purpose of this notice is to educate and inform all providers on Clinical Laboratory Improvement Amendments (CLIA) certificate requirements in order for your claims to be processed correctly.
CLIA is required for all facilities or providers that examine “materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of human beings.” If a facility or provider performs tests for these purposes, they are considered a laboratory and must obtain a CLIA certificate in accordance with CLIA laws and regulations.
Plan is requesting all laboratory providers to please submit your most current and updated CLIA certificate.
Laboratory servicing providers who do not meet the CLIA billing requirements will not be reimbursed.
You may submit these via email to firstname.lastname@example.org.
If you have any questions you can contact our Provider Services Center at 844.633.5325.