NEW ADDRESS:
CLIA Laboratory Program
PO Box 3056
Portland, OR 97208-3056
NOTE: CHECKS ONLY-No Cash and you MUST include the CLIA Fee Coupon with your check. The fees can be paid online with a credit card.
* These facilities do not have licensing requirements for the state of Oklahoma and require Certification by The Center for Medicare & Medicaid Services.
Directory: Click the following link to access a current copy of the Medical Facility Services Directory
All licensing fees must accompany the completed application form and be mailed to the following address: Financial Management-Receipting Unit, OSDH, PO Box 268823, Oklahoma City, OK 73126-8816, Failure to do so may result in a delay in the processing of your license application.
NEW ADDRESS:
CLIA Laboratory Program
PO Box 3056
Portland, OR 97208-3056
NOTE: CHECKS ONLY-No Cash and you MUST include the CLIA Fee Coupon with your check. The fees can be paid online with a credit card.
Applications can be mailed to:
Oklahoma State Department of Health
Medical Facilities/CLIA
123 Robert S. Kerr. Ave Suite 1702
Oklahoma City, OK 73102-6406
Fax a request on your letterhead to:
Attn: OSDH/Medical Facilities/CLIA at (405) 900-7559
Please include the CLIA number on your request as well as a contact person and their phone number. Please be aware a new certificate will not be issued automatically. If a new certificate is needed, please see below.
Fax a written request to:
Attn: OSDH/Medical Facilities/CLIA at (405) 900-7559
for a replacement certificate. Please include the CLIA number as well as the name of a contact person and their phone number.
Your new CLIA certificate will arrive approximately 2-3 weeks prior to your expiration date.
Please submit your request to change the director on your CLIA certificate on the CMS-116. All 5 pages must be filled out completely and signed. The form can be emailed to CLIA@health.ok.gov or faxed to (405) 900-7559. If you have any questions, please contact us via email or at (405) 426-8470.
Mailing Address:
Oklahoma State Department of Health
Medical Facilities Service - Facility Services Division
123 Robert S. Kerr. Ave Suite 1702
Oklahoma City, OK 73102-6406
Physical Address is:
Oklahoma State Department of Health
Medical Facilities Service - Facility Services Division
123 Robert S. Kerr. Ave
Oklahoma City, OK
Phone: (405) 426-8470
Fax: (405) 900-7559
Email: CLIA@health.ok.gov