Laboratory Personnel Report (CLIA) and Supporting Regulations (CMS-209)

ICR 202504-0938-016

OMB: 0938-0151

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-209 Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1 - 493.2001 Form and Instruction	Modified
CMS-209 Response Public_Comment 2025.docx Supplementary Document	2025-05-14
CMS-209 Supporting Statement A 2024 CLEAN 12.17.24.docx Supporting Statement A	2025-05-14

IC Document Collections

IC ID	Document Title	Status
7865	Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1 - 493.2001 Form and Instruction	Modified