Louisiana

Louisiana Health Authority, Public Health Division. Division 24. Clinical Laboratories. 
https://ldh.la.gov/page/legislative-acts

(1) Title 46. Professional and Occupational Standards. Part XLV. Medical Professions. Subpart 2. Licensure and Certification

“A. General Requirements. Application for licensure or certification under this Chapter shall be made on a form supplied by the committee. Such form, and any supporting documentation required to be submitted therewith, shall provide information sufficient to assure the applicant satisfies the minimum qualifications for the category of licensure or certification applied for.

1. Applicant for Licensure as CLS-G, CLS-S, CLS-T, or Cytotechnologist. Each application for licensure as a CLS-G, CLS-S, CLS-T, or cytotechnologist shall be accompanied by all of the following:
2. a recent photograph for identification;
3. the appropriate fee;
4. a copy of the registration or certification card indicating successful completion of an approved nationally recognized certification examination;
5. for non-U.S. citizen applicants, proof of lawful entry into the country; and
6. if the requested licensure or certification is based on reciprocity as provided in § 3513, a statement from the licensing authority of the other state attesting to the licensure status of the applicant in the other state. Such statement shall be issued directly to the committee from the licensing authority of the other state.
7. Application for Licensure as a Laboratory Assistant. Each application for licensure as a laboratory assistant shall be accompanied by all of the following:
8. a recent photograph for identification;
9. the appropriate fee;
10. evidence of completion of a satisfactory training program;
11. copy of a high school diploma or equivalent; and
12. if moderate complexity testing is to be performed, documentation of competency in the area of testing to be performed.
13. Application for Certification as a Phlebotomist. Each application for certification as a phlebotomist shall be accompanied by all of the following:1. a recent photograph for identification;
14. the appropriate fee; and
15. evidence of completion of a satisfactory training program and successful completion of a board-approved or administered certifying examination or successful completion of an approved nationally recognized certification examination.
16. Multiple Licensure. An applicant may be licensed or certified in each category for which he or she is qualified.”

Application: http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads//cms116.pdf

In addition to a completed CMS116 form, applications should also submit a Listing of Tests Performed in the Facility. Once the information is complete the applicant may submit via email to alexa.little@la.gov or mail to

CLIA Laboratory Program, P O BOX 3767, Baton Rouge, LA 70821.

Online Access to CLIA Certificates

CMS is now making CLIA certificates available online at no cost via the QCOR Lookup Tool.  All certificates generated after September 27, 2023 should be available for download.  Click HERE to access the Tool and choose “CLIA Laboratory Lookup” from the left menu bar (2nd option from the top).  When you click the entry for the laboratory, a box containing the laboratory information and a link to the certificate will pop up in a new window.