State Operations Manual (Pub. 100-07), Ch. 6 § 6006.4
Certificate of Compliance
6006.4 – Certificate of Compliance
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
A Certificate of Compliance is issued to a laboratory after an inspection finds the
laboratory to be in compliance with all applicable requirements. The certificate will
reflect the effective date for each approved specialty/subspecialty. A Certificate of
Compliance may also be reissued to a laboratory that has one or more condition-level
deficiencies that do not pose immediate jeopardy (see section 6262).
If a Certificate of Compliance is due to expire prior to a hearing date, it may be reissued
if CMS finds that conditions in the laboratory do not pose immediate jeopardy. The
certificate remains effective while awaiting the hearing decision. All sanctions
imposed against the certificate carry forth when the certificate is reissued. A Certificate
of Compliance is valid for a period of two years. Upon certificate expiration, and after
recertification and payment of appropriate fees, the laboratory’s certificate will be
renewed for another 2-year period.