---
title: Paper CLIA Fee Coupons & Certificates Ending March 1, 2026
description: "Starting March 1, 2026:\n\nCMS will no longer mail paper CLIA fee coupons or CLIA certificates.\nAll CLIA certification and survey fees must be paid online.\n(Checks will no longer be accepted.)\nOnly practices and labs enrolled in CMS email notifications will receive fee coupons and certificates going forward.\n\nThis means it’s essential for laboratories and any provider conducting lab testing to be signed up for CMS electronic notifications before the March 1 deadline."
image: https://go.northwestahec.wakehealth.edu/hubfs/Medicine%20doctor%20hand%20working%20with%20modern%20computer%20interface%20as%20medical%20concept-4.jpeg
---

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# Practice Support Update Blog

## [Paper CLIA Fee Coupons & Certificates Ending March 1, 2026](https://go.northwestahec.wakehealth.edu/practicesupport/paper-clia-fee-coupons-certificates-ending-march-1-2026)

 Feb 3, 2026 1:45:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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As part of our ongoing commitment to help practices stay ahead of regulatory changes, we want to make sure you’re aware of an important update from the **Centers for Medicare & Medicaid Services (CMS)** that may affect your laboratory operations—especially if your practice performs any in‑house testing.

### **What’s Changing?**

CMS is modernizing the **Clinical Laboratory Improvement Amendments (CLIA)** program by transitioning entirely to **electronic fee coupons and electronic CLIA certificates**.

**Starting March 1, 2026:**

- CMS will **no longer mail** paper CLIA fee coupons or CLIA certificates.
- All CLIA certification and survey fees must be **paid online**.  
  *(Checks will no longer be accepted.)*
- Only practices and labs enrolled in CMS email notifications will receive fee coupons and certificates going forward.

This means it’s essential for laboratories and any provider conducting lab testing to be signed up for CMS electronic notifications before the March 1 deadline.

### **Why This Matters**

Failure to transition to electronic notifications may result in:

- Missed CLIA fee invoices
- Lapsed certificates
- Delays or disruptions in billing
- Compliance issues that could affect laboratory testing services

We want your practice to avoid any of these preventable interruptions.

### **Action Steps for Practices**

To continue receiving CLIA-related documents electronically, take one of the following steps **as soon as possible**:

1. **Email your State Agency**  
   Use the contact information provided in the [CMS State Agency PDF](https://www.cms.gov/regulations-and-guidance/legislation/clia/downloads/cliasa.pdf) to update or confirm your email address on file.
2. **Accredited Laboratories**  
   If your laboratory is accredited through an Accreditation Organization, contact your accreditor directly to update your email information.

Either option will ensure CMS has the correct email address for your lab or practice.

 

### **Steps to Look Up CLIA Status**

1. **Access the Tool:**[Navigate to the QCOR Home Page](https://qcor.cms.gov/main.jsp) and select **"CLIA Laboratory Lookup"** from the left-hand menu bar (typically the second option from the top).
2. **Enter Search Criteria:** You can search for a laboratory using the following details: 
     - **CLIA Number:** Enter the 10-digit alphanumeric identification number.
     - **Facility Name:** Use the full or partial name of the laboratory.
     - **Location:** Narrow results by City, State, or Zip Code.
3. **View Results:** Click on the laboratory name in the search results to open a pop-up window containing demographics and status.
4. **Download Certificate:** If a certificate was generated **after September 27, 2023**, a link to download the official PDF will be visible in the laboratory's information box. 

**CMS Demographic Lookup:** You can also check basic "active" lab information (expiration date, certificate type) on the [CMS Laboratory Demographic Information](https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments/laboratory-registry) page.

**FDA CLIA Database:** For information regarding specific test categorizations and waived analytes, use the [FDA CLIA Database](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfclia/search.cfm). 

### **How Practice Coaches Can Support You**

We’re here to help your team prepare for the transition. Practice Support Coaches can:

- Confirm whether your practice has already received electronic notifications
- Help you identify your state agency contact
- Walk through the steps to update your information
- Answer questions about the process and how it may impact billing and operations

If your practice performs any point‑of‑care testing or maintains a CLIA certificate of waiver, this change applies to you—so please take a moment to complete this update.

### **Bottom Line**

**March 1, 2026** is the final cutoff for paper CLIA documents. Switching to electronic notifications now will help ensure seamless renewals, uninterrupted testing operations, and continued compliance with CMS requirements.

If you need assistance, don’t hesitate to reach out to your Practice Support Coach—we’re here to help you navigate the transition smoothly.

 Tags: [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms), [Laboratory Testing](https://go.northwestahec.wakehealth.edu/practicesupport/topic/laboratory-testing)

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#### Written by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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To learn more about [Practice Support Click Here](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services)

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- [finance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/finance)
- [financial assistance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/financial-assistance)
- [flu season (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/flu-season)
- [foster care (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/foster-care)
- [funding (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/funding)
- [harm reduction (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/harm-reduction)
- [health careers (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-careers)
- [health professionals (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-professionals)
- [hospital (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hospital)
- [intake (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intake)
- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
- [management (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/management)
- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
- [north carolina (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/north-carolina)
- [nurse practitioners (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nurse-practitioners)
- [payment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payment)
- [podcast (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/podcast)
- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
- [stress (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stress)
- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
- [SOGI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sogi)
- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
- [STUN (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stun)
- [TPM (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tpm)
- [access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/access)
- [aggression (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aggression)
- [antigen test (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/antigen-test)
- [atrium health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/atrium-health)
- [autism (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/autism)
- [breast cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/breast-cancer)
- [broadband access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/broadband-access)
- [care transitions (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-transitions)
- [carolina access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-access)
- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
- [cognitive impairment (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cognitive-impairment)
- [colon cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/colon-cancer)
- [compliance (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/compliance)
- [conversation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/conversation)
- [counseling (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/counseling)
- [cultural humility (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cultural-humility)
- [culture (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/culture)
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- [demographics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/demographics)
- [discrimination (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/discrimination)
- [diversity and inclusion (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/diversity-and-inclusion)
- [doctors day (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/doctors-day)
- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
- [exercise (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/exercise)
- [fda (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fda)
- [fraud (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fraud)
- [government shutdown (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/government-shutdown)
- [health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health)
- [health care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-care)
- [health leadership (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-leadership)
- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
- [hiring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiring)
- [hiv (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiv)
- [home health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/home-health)
- [homeless (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/homeless)
- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
- [prediabetes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prediabetes)
- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
- [safety (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/safety)
- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
- [shelter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/shelter)
- [smoking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/smoking)
- [support staff (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/support-staff)
- [surgery (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgery)
- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
- [transgender (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/transgender)
- [tricare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tricare)
- [trillium (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/trillium)
- [united healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/united-healthcare)
- [virtual (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/virtual)
- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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