Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations in 42 CFR 493.1-493.2001

Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations (CMS-1557)

1557 entry instructions ASPEN 11.9.1 Procedures Guide (004)

Survey Report Form Clinical Laboratory Improvement Amendments (CLIA) and supporting regulations in 42 CFR 493.1-493.2001

OMB: 0938-0544

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CLIA Certification Kits

CLIA Certification Kits
Certification kits for CLIA labs contain six tabs:
•

Certification & Surveys

•

Tracking

•

Transmittal (CMS-1539)

•

Survey (CMS-1557)

•

1557 Specialties

•

Upload

Certification & Surveys tab
Every certification kit opens initially to the Certification & Surveys tab. It has
five sections:
•

Certification Properties

•

Citation List

•

Survey List

•

Special Fields

•

CLIA

Certification Properties and Responsible Parties
The Certification Properties section of the Certification & Surveys tab contains
basic information about the current certification kit. The Responsible Parties
field lists responsible parties assigned to the certification kit.
Fields: "Certification Properties and Responsible Parties", on page 454
Fields: "Responsible Parties", on page 462

Figure 104: Certification Properties and Responsible Parties

11.9.1 Procedures Guide

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333

CLIA Certification Kits

Survey (CMS-1557)
This tab corresponds to the Personnel section of the paper CMS-1557.
Fields: "Survey (CMS-1557)", on page 469

Figure 120: Survey (CMS-1557) tab

11.9.1 Procedures Guide

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343

CLIA Screens

1557 Specialties
Use this tab to view, update, delete, or close out survey specialties for
Compliance labs and to confirm specialty data for Accredited labs. The 1557
Specialties tab does not appear for certification kits with a Prior status, or for
closed labs.
Fields: "1557 Specialties", on page 470

Figure 121: 1557 Specialties tab

344

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CLIA 116 and Certification


File Typeapplication/pdf
File TitleCLIA 116 and Certification 11.9.1 Procedures Guide
SubjectCLIA 116 and Certification 11.9.1 Procedures Guide
AuthorATG
File Modified2021-06-07
File Created2021-02-01

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