PDF editing your way
Complete or edit your clia anytime and from any device using our web, desktop, and mobile apps. Create custom documents by adding smart fillable fields.
Native cloud integration
Work smarter and export clia certification directly to your preferred cloud. Get everything you need to store, synchronize and share safely with the recipients.
All-in-one PDF converter
Convert and save your clia waiver application as PDF (.pdf), presentation (.pptx), image (.jpeg), spreadsheet (.xlsx) or document (.docx). Transform it to the fillable template for one-click reusing.
Faster real-time collaboration
Invite your teammates to work with you in a single secure workspace. Manage complex workflows and remove blockers to collaborate more efficiently.
Well-organized document storage
Generate as many documents and template folders as you need. Add custom tags to your files and records for faster organization and easier access.
Strengthen security and compliance
Add an extra layer of protection to your clia application by requiring a signer to enter a password or authenticate their identity via text messages or phone calls.
Company logo & branding
Brand your communication and make your emails recognizable by adding your company’s logo. Generate error-free forms that create a more professional feel for your business.
Multiple export options
Share your files securely by selecting the method of your choice: send by email, SMS, fax, USPS, or create a link to a fillable form. Set up notifications and reminders.
Customizable eSignature workflows
Build and scale eSignature workflows with clicks, not code. Benefit from intuitive experience with role-based signing orders, built-in payments, and detailed audit trail.
What you should know about CLIA
- Form CMS-116 is used to collect information about laboratory operations.
- CLIA requires facilities testing human specimens to meet Federal requirements.
- There are various facility types listed in Form CMS-116.
Award-winning PDF software
How to prepare CLIA
About Form CMS-116
Form CMS-116 is a form used by healthcare providers to enroll in the Medicare program as an ambulance supplier. This form is also used to make changes to an existing enrollment record, such as updating provider information or adding or terminating services. Providers who offer ambulance services to Medicare beneficiaries are required to enroll in the Medicare program as an ambulance supplier and must use Form CMS-116 to complete the enrollment process. This includes both emergency and non-emergency ambulance transports. The form must be submitted to the Medicare Administrative Contractor (MAC) responsible for processing enrollment applications in the state where the provider operates.