State Operations Manual (Pub. 100-07), Ch. 6 § 6138
Retention of CLIA Certification Records
6138 - Retention of CLIA Certification Records
(Rev. 230; Issued: 07-11-25; Effective: 07-11-25; Implementation: 07-11-25)
Essential data from all CLIA forms can be captured electronically in the CMS
mainframe data system, and will maintain the data for 7 years following the year in
which the record is created, pursuant to Subpart R of the Federal Acquisition
Regulations (incorporated by reference in Article XII.A of the Section 1864
agreement). The Section 1864 agreement and Subpart R do not preclude limiting data
captured to “essential” elements. For example, the deficiency codes and correction
dates from the Form CMS-2567 are essential, but the narrative description of
deficiencies or corrections are not.
Article XII.A of the Section 1864 agreement requires retention of survey and
certification records for three years following the year in which the record is created.
This provision permits retention of the records in electronic form.
Additional expectations are found in the CMS Records Schedule, which provides
record descriptions and mandatory disposition instructions for the retention, transfer,
retirement or destruction of Agency records as approved by the National Archives &
Records Administration. See Section XI for specific CLIA-related information.
However, where State law requires retention of records for a longer period or in
specific formats, only the state actor is bound by the State law.
The following sections specify record retention requirements for different compliance
situations.