Mississippi

Mississippi State Licensing Requirements

State-Specific CLIA Applications

Mississippi Department Health, Public Health Division. Clinical Laboratories. 
https://billstatus.ls.state.ms.us/documents/2024/html/HB/0700-0799/HB0791IN.htm

Application: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS116.pdf

(1) Mississippi State Department of Health
Licensure and Certification – CLIA
P.O. Box 1700
Jackson, MS 39215-1700

Telephone: 601‑364‑1100 or 601‑364‑1115
Fax: 601‑364‑5053

Applications are accepted by e-mail. E-mail submission results in the fastest processing.

Email: CLIA-MSDH@msdh.ms.gov

(a) The Quick Start Guide directs laboratories in the processes for:

  • Completing the CLIA application form, CMS-116
  • Finding the appropriate State Agency to submit the form.
  • Receiving the fee coupon
  • Paying applicable fees
  • Receiving laboratory certificate and beginning testing
  • Maintaining the certificate

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.