Clinical Laboratory Improvement Amendments (CLIA): Forms
This page includes forms related to clinical laboratories in Wisconsin. Email dhsdqaclia@dhs.wisconsin.gov if you have questions about these resources.
Forms
- CLIA Application for Certification - CMS-116 (PDF) (also see the Federal CMS CLIA website)
- Laboratory Application for Approval to Perform Implied Consent Wis. Stat. 343.305(6) Testing, F-62501
- Analyst Application for Approval to Perform Implied Consent Wis. Stat. 343.305(6) Testing, F-62502