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CLIA Certificate Types & Test Complexity Classifications Flashcards

7 cards from real CLIA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. How many distinct types of CLIA certificates can a laboratory obtain from CMS?

    Answer: Five

    CMS issues five types of CLIA certificates: Certificate of Waiver, Certificate for Provider-Performed Microscopy (PPM), Certificate of Registration, Certificate of Compliance, and Certificate of Accreditation.

  2. Which CLIA certificate is designed for laboratories that perform only simple tests with a low risk of erroneous results?

    Answer: Certificate of Waiver

    The Certificate of Waiver covers FDA-approved waived tests that are simple to perform and pose negligible risk of harm to the patient if performed incorrectly.

  3. Under CLIA, which type of microscopy procedures qualify for a Certificate for Provider-Performed Microscopy (PPM)?

    Answer: Wet mounts, KOH preparations, and fern tests performed during the patient visit

    PPM procedures include wet mounts, KOH preparations, pinworm exams, fern tests, and certain urinalysis microscopy performed by a physician, midlevel practitioner, or dentist during the patient encounter.

  4. A laboratory performing moderate- or high-complexity testing that is inspected directly by CMS or a state agency holds which certificate?

    Answer: Certificate of Compliance

    A Certificate of Compliance is issued to laboratories that perform non-waived testing and are subject to inspection by CMS or a CMS-approved state agency.

  5. CMS uses a scoring system based on how many criteria to categorize laboratory tests as waived, moderate-, or high-complexity?

    Answer: Seven

    CMS evaluates tests across seven criteria—knowledge, training and experience, reagents and materials, characteristics, troubleshooting and quality control, equipment, and test system—each scored 1 to 3.

  6. Laboratories holding only a Certificate of Waiver are subject to which type of CMS inspection?

    Answer: Complaint inspections only

    Certificate of Waiver laboratories are exempt from routine CLIA inspections and are only subject to complaint investigations or inspections for cause.

  7. Which of the following tests is most likely classified as a CLIA-waived test?

    Answer: FDA-cleared home-use blood glucose monitor used in a physician office

    FDA-cleared home-use blood glucose monitors that have been granted waived status are examples of waived tests under CLIA when used in a point-of-care setting.