Forms Required
Prepare the required forms and upload in your online renewal application:
Renewing Online with Changes
Required forms if there are changes (such as laboratory director, ownership, license type, address, and contact details) from the last time you renewed/applied:
| āLAB 144A (PDF) -or- select tests online |
ā No
|
Yes
|
ā Yes
|
| āLAB 116 (PDF) or
LAB 116OS (PDF) for out-of-state |
No
|
ā Yes
|
ā Yes
|
| āāLAB 168OS (PDF) (new staff only) |
No
|
ā No
|
ā Yes
|
āāLAB 182 (PDF)
|
Yes
|
ā Yes
|
ā Yes
|
LAB 183 (PDF)
|
ā Yes
|
ā Yes
|
ā Yes
|
| āCMS 116 (PDF) |
ā Yes
|
ā Yes
|
ā No
|
Renewing Online with No Changes
Required forms if there are no changes from the last time you renewed/applied:
| āāLAB 144A (PDF) -or- select tests online |
No
|
Yes |
ā Yes |
| āāLAB 116 (PDF) or LAB 116OS (PDF) for out-of-state |
ā No
|
ā Yes |
ā Yes |
ā
āLAB 168OS (PDF) (new staff only)
|
ā No
|
ā No |
ā Yes |
āLAB 182 (PDF)
|
ā Yes
|
Yes |
Yes |
| āLAB 183 (PDF) |
Yes
|
ā Yes |
ā Yes |
Reminders
- Annual renewal notices are sent 75 days before the expiration date.
- If you are
not an Owner, Shareholder, CEO, Board of Directors, Vice President, or Other type of owner, select
Authorized Representative as your "Role" to avoid seeing your name on the certificate as an owner.
- Do
not click "Start New License" - A new license application will result in a new State ID and a
gap in licensure which may affect your billing.
- Do
not submit an online application if you have
already mailed-in an application, as duplicate applications may cause delays.
- Renew within 60 days after the expiration date to avoid
forfeiture of State laboratory license and termination of CLIA certification.
- For
changes to your license,
CMS 116 (PDF) is required to be uploaded.
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