Send CLIA applications (no payments) to the following:
Mississippi State Department of Health
Licensure and Certification – CLIA
P.O. Box 1700
Jackson, MS 39215-1700
Telephone: 601-364-1100 or 601-364-1115
Fax: 601-364-5053
Applications are accepted by e-mail. E-mail submission results in the fastest processing.
Email: CLIA-MSDH@msdh.ms.gov
Regulatory information for clinical laboratories (including the CLIA CMS 116 application) can be found at www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/index.html.