CMS is improving the Clinical Laboratory Improvement Amendments (CLIA) program by switching to electronic fee coupons and CLIA certificates. After March 1, 2026, paper fee coupons and CLIA certificates will no longer be available; we’ll stop mailing paper versions after this date. In addition, you must pay your CLIA certification and survey fees online; checks will no longer be accepted.
This is the last chance for eligible laboratories and providers that perform laboratory testing to sign up for CMS email notifications to receive electronic CLIA fee coupons and certificates. Failure to switch may result in billing and certification issues.
You can switch to electronic notifications from CMS or update your email address by:
- Emailing your state agency (PDF)
- Contacting your Accreditation Organization if you’re an accredited laboratory
Note: This doesn’t apply to CLIA-exempt states.
Providers & Suppliers: CMS Has Authority to Conduct Enrollment Site Visits
CMS conducts authorized enrollment site visits to verify operational status. Site visit inspectors carry a photo ID and CMS-issued letter of authorization that you may review but not retain or copy.
Starting January 3, 2026, 2 new site verification service contractors will conduct these visits:
- East: Arch Systems, LLC
- West: Signature Consulting Group
Until February 14, 2026, outgoing contractors may continue performing site visits:
- East: Palmetto GBA and its subcontractors:
- Overland Solutions, Inc., an affiliate of EXL
- Information Discovery Services
- Compliance Review, Inc.
- National Creditors Connection, Inc.
- West: Deloitte Consulting, LLP and its subcontractors:
- Nationwide Management Services, Inc.
- CSI Companies, Inc.
- Arthur Lawrence Management, LLC
- Computer Evidence Specialists, LLC