Renew Single Site License (User Manual)

Review and update the information if necessary. Click Next.

Please note:

• If Waived or PPMP, uploading LAB 144A and adding tests are not required.
• If Moderate or High Complexity, either:
• select tests using the dropdown options (skip adding Waived tests),
  

• -OR- upload a LAB 144A.pdf form.

Laboratory Personnel section: A CLIA laboratory director must be added to move forward. A Role must be assigned to each record. Click Submit.

• To edit: click the Edit icon. 
• To add: click Add New Laboratory Director or Add From Existing Personnel.
• To remove or disassociate: click the Trash Bin icon.
Please note:
• If Waived, uploading LAB 116 is not required.
• If PPMP or Moderate or High Complexity, upload a completed LAB 116.pdf form.

Click Continue Application.

Review and scroll down. Click the Next button.

Associate Sites

Read the instructions. Select No, and click Next.

Upload Documents

Read the instructions and upload the required forms. Upload CMS 116.pdf form if there are changes in your site. Click Next.

Application Summary

Review the Application Summary. You may click the Back button if you need to correct the information, otherwise, click Next.

Application Attestation

Read the Application Attestation. Sign, click Accept, then click Submit.

Payment

Click Shopping Cart to proceed.

Select the items you want to pay, then click Proceed to Checkout.

Enter Payment Details. Check the payment authorization clause. Click Submit.

Your application will be in Pending-RenewalReview status if you made major changes. If there are no changes, the system will approve your renewal application.