State Operations Manual (Pub. 100-07), Ch. 6 § 6006.5
Certificate of Accreditation
6006.5 – Certificate of Accreditation
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
A Certificate of Accreditation is issued to a laboratory after the accrediting organization
certifies the laboratory according to its certification requirements. The Certificate of
Accreditation will reflect the effective date for each specialty/subspecialty approved by
the accreditation organization.
Upon a certificate’s expiration, and after payment of appropriate fees, the laboratory’s
certificate will be renewed with a new 2-year effective date unless CMS is notified by the
accreditation organization of a laboratory’s loss of accreditation status.
In the event of a condition-level noncompliance determination as a result of a random
sample validation or complaint survey, a laboratory with a Certificate of Accreditation is
subject to a full review by CMS or its designee. A Certificate of Accreditation may be
issued to an accredited laboratory that is out of compliance at the condition-level
provided a credible Allegation of Compliance (AoC) is received by CMS or its designee,
and the non-compliance does not constitute immediate jeopardy, even if a hearing is
pending.