Clinical Laboratory Fees and Test Counts

Calculating Fees

Although CLIA CMS116 forms are a part of the laboratory application packet submitted to the state, the CLIA program separately bills the laboratory for payment.
CLIA fees should never be sent to the State of Florida.
Annual Volume of Non-Waived Testing Number of Specialties Biennial Fee
Not more than 2,000 tests per yearNA$400
More than 2,000, but not more than 10,000Not more than 3 testing categories$965
Not more than 10,000 At Least 4 testing categories $1,294
More than 10,000, but not more than 25,000 Not more than 3 testing categories$1,592
More than 10,000, but not more than 25,000 At least 4 testing categories$2,103
More than 25,000 but not more than 50,000 NA$2,364
More than 50,000, but not more than 75,000 NA$2,625
More than 75,000, but not more than 100,000 NA$2,886
More than 100,000, but not more than 500,000 NA$3,397
More than 500,000, but not more than 1,000,000 NA$3,658
More than 1,000,000 testsNA$3,919

Counting Tests

Do not count:

ProcedureHow to Count
All PPM testsCount each specimen as one test.
Urinalysis dipstick (Non-waived)Count as one test, regardless of the number of reagent pads on the test strip.
Urine MicroscopicCount each specimen as one test.
Chemistry Tests and ProfilesCount each test individually, even if performed as part of a profile. Do not count calculated results such as A/G & BUN/creatinine ratios, osmolality, etc.
AllergensCount each allergen as one test.
CBCCount each measured CBC parameter (WBC/RBC/platelet/hemoglobin/MCV) individually. Do not count calculated results such as automated hematocrit, indices, etc.
Manual or automated WBC differentialsCount manual or automated WBC differentials as one test, regardless of the number of parameters reported.
Immunohematology testsCount each individual immunohematology test (ABO, Rh, antibody screen, antibody identification, crossmatch or other immunohematology test) as one test each.
CulturesCount each culture type as one, regardless of the extent of identification. (e.g., If a sputum specimen is provided for routine culture, gram stain, AFB smear and culture, and a mycology culture, it counts as five tests.
Antimicrobial susceptibility testsCount each test as one, regardless of the number of disks.
Direct parasite smear/concentrationCount each specimen as one test.
Trichrome stains, etc.Count each specimen as one test.
Pathology and CytologyCount each specimen as one test.
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