Form uploader: Complaint Form and Instructions Example Letter of Release CMS 209 - Laboratory Personnel Report CLIA Payment Instructions Survey Checklist Post Clinical Laboratory Survey Questionnaire CMS-116 CLIA Application Clia Certificate Type Change Disclosure or Change of Ownership and Tax ID Health Screening Event Requirements and Approval Request Form (for TESTING and COLLECTION of specimens) Tissue and Sperm Bank Registration Health Wellness Event Requirements and Approval Request Form (for collection of specimens ONLY) Laboratory Personnel Qualifications Laboratory Name, Address, and Director Change Laboratory Director QualificationsForm 3rd level page: Clinical Lab Improvement Amendments (CLIA)Frequently Asked QuestionsApplication and Informationforms3lvlcomputed: Clinical Lab Improvement Amendments (CLIA)formspathcomputed: topics-services%2Fhealth-care-regulation%2Fclia