(May 30, 2025) – The Centers for Medicare & Medicaid Services has communicated the Clinical Laboratory Improvement Amendments is going paperless for email notifications, electronic fee coupons and CLIA certificates. Labs need to initiate the switch, and the deadline is March 1, 2026. For more information, including the process for your lab to make the switch, go to
Clinical Laboratory Improvement Amendments | CMS.
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Larry Van Der Wege