CMS and CDC reopen the CLIA regulations with a request for information — comments close September 14
CMS and CDC published a Request for Information on the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations in the Federal Register on July 16, 2026 (CMS-3485-NC, docket CMS-2026-2345). In the document's own words, it 'seeks input from the public regarding various topics related to the CLIA regulations, including: breath testing; laboratory processes and procedures; emergency preparedness, biosafety and biosecurity, and cybersecurity; and specialty testing areas.'
Comments close September 14, 2026. BE PRECISE ABOUT WHY THIS IS HERE: the RFI does not mention FQHCs, RHCs, community health centers, certificates of waiver, or physician office laboratories anywhere in its text — that was checked term by term.
The health-center relevance is structural, not asserted by the document: essentially every health center holds a CLIA certificate (most commonly a Certificate of Waiver or PPM) for in-clinic testing, so any rulemaking that follows would reach them the way it reaches every other CLIA-certified site. This is the first substantive regulatory reopening of CLIA since the 1992 implementing rules, which makes the comment window unusually consequential for small-volume testing sites that rarely get represented in lab policy.
Do not read any FQHC-specific certification or billing change into this document — there is none yet, only a question-asking stage.
Key takeaways
- Comments close September 14, 2026 — the first real chance in three decades for small-volume, waived-testing sites to shape CLIA rules before a proposed rule is drafted.
- The RFI names no provider type relevant to health centers; the FQHC connection is that health centers hold CLIA certificates like everyone else, not anything the document says about them.
Linked evidence
CMS / CDC — Federal RegisterSource packet
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FQHC Talent. (2026, July 16). CMS and CDC reopen the CLIA regulations with a request for information — comments close September 14. Linked evidence: CMS / CDC — Federal Register. Retrieved September 11, 2026, from https://www.fqhctalent.com/intel/cms-cdc-clia-regulations-rfi-july-2026
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