CLIA State Directory

Important: Federal CLIA classifies most rapid drug screens as waived complexity, so a CMS Certificate of Waiver is generally enough for instant drug testing. However, a handful of states run their own laboratory licensing programs (California, New York, Washington, and others) that require additional or different filings beyond the federal CMS-116. Many states still aren't confirmed in our research — when a state is marked "Confirm with state agency," call or email the contact below before relying on a federal waiver alone.