Basic changes such as address, phone, fax, email, laboratory name (without ownership change), certificate corrections, business closure, and upgrade or downgrade (initial fee required), require these forms:
LAB 193 (PDF) - Notification of Laboratory Change
LAB 183 (PDF) - Director Attestation
CMS 116 (PDF) - to update CLIA certificate
We will contact you by email if additional information is required upon review. An initial fee is required for a downgrade or upgrade. Be sure to include a valid
email address on each form to avoid delay. See "Send Application To" below.