CMS is modernizing the Clinical Laboratory Improvement Amendments (CLIA) program by shifting from mailed paper fee coupons and certificates to fully electronic delivery. Beginning March 1, 2026, laboratories and providers that perform lab testing must opt in to receive CLIA certificates and fee notices by email. After this date, CMS will no longer send paper versions.
To transition to electronic notifications, labs can choose one of three options:
- Email their state CLIA agency.
- Contact their Accreditation Organization (for accredited labs).
- Complete the CLIA Application for Certification (CMS-116) and check the option to receive notifications electronically.
This new process does not apply to CLIA-exempt states.
Resource: Laboratories: Switch to Electronic Fee Coupons & CLIA Certificates