Cal. Code Regs. tit. 22 § 51211.2

Current through Register 2024 Notice Reg. No. 19, May 10, 2024
Section 51211.2 - Laboratory or Clinical Laboratory
(a) A laboratory or clinical laboratory in California or receiving biological specimens (as defined in Business and Professions Code section 1206) originating in California shall:
(1) Be operated under a current, unrevoked and unsuspended clinical laboratory license or registration issued by the department pursuant to division 2, chapter 3, (commencing with section 1200) of the Business and Professions Code; or a current, unrevoked and unsuspended certificate of approval issued by the department pursuant to sections 1000-1003 inclusive of the Health and Safety Code; or be exempt from licensure and registration under Business and Professions Code section 1241 or 1244; and
(2) Have a current, unrevoked and unsuspended, certificate appropriate for the type and complexity of clinical laboratory tests or examinations performed, issued pursuant to the federal Clinical Laboratory Improvement Amendments (CLIA) of 1988, 42 United States Code section 263a; P.L. 100-578 and its implementing regulations, 42, Code of Federal Regulations part 493. If the United States Department of Health and Human Services (HHS) exempts clinical laboratories, laboratories or public health laboratories licensed, registered or otherwise approved by the department from the requirements of CLIA pursuant to (p) of section 263 a of title 42 of the United States Code and section 493.513 of title 42 of the Code of Federal Regulations, this subsection's requirements regarding a CLIA certificate shall not apply, but only to those clinical laboratories, laboratories or public health laboratories exempted by HHS and only for the period of such exemption.
(3) If providing services to persons who are Medicare eligible, be certified or meet the requirements for certification under title XVIII of the Federal Social Security Act, and have elected to provide services under title XVIII, or
(4) If providing services to persons who are not Medicare eligible, be certified or meet the requirements for certification under title XVIII of the Federal Social Security Act.
(b) All persons performing, supervising, consulting on, or directing laboratory or clinical laboratory services in California or on biological specimens originating in California shall comply with the requirements set forth in division 2, chapter 3 (commencing with section 1200) of the Business and Professions Code and the regulations adopted thereunder for the type and complexity of testing performed.
(c) For the purposes of providing laboratory services for qualified practitioners whose practices are conducted solely in states other than California and on biological specimens that do not originate in California, a laboratory or clinical laboratory shall be certified to provide services under the federal Clinical Laboratory Improvement Amendments (CLIA) of 1988, 42 United States Code section 263a; P.L. 100-578 and shall be licensed, registered or otherwise approved by the appropriate state agency in the state in which it is located, if such licensure, registration or approval is required.

Cal. Code Regs. Tit. 22, § 51211.2

1. New section filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40).
2. Amendment filed 12-28-73 as an emergency; designated effective 1-1-74. Certificate of Compliance included (Register 73, No. 52).
3. Amendment of subsection (a) filed 8-6-76; effective thirtieth day thereafter (Register 76, No. 32).
4. Change without regulatory effect adding NOTE (Register 86, No. 49).
5. Amendment of section heading, text and NOTE filed 1-20-94 as an emergency; operative 1-20-94 (Register 94, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-20-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 1-20-94 order including amendment of subsections (a)-(a)(1) and NOTE transmitted to OAL 5-19-94 and filed 7-1-94 (Register 94, No. 26).
7. Amendment of section and NOTE filed 8-28-97 as an emergency; operative 8-28-97 (Register 97, No. 35). A Certificate of Compliance must be transmitted to OAL by 12-26-97 or emergency language will be repealed by operation of law on the following day.
8. Editorial correction of subsections (b) and (c) (Register 98, No. 7).
9. Certificate of Compliance as to 8-28-98 order transmitted to OAL 12-24-97 and filed 2-9-98 (Register 98, No. 7).

Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Section 14132, Welfare and Institutions Code; Sections 101150- 101165, Health and Safety Code; Sections 1200- 1327, Business and Professions Code; Title 42 United States Code, Sections 263a, 1395w-2, 1396a(a)(9)(C), 1395x(e)(9), 1395x(s)(13) and (14), 1395x(aa)(2)(G), 1396n(a)(1)(B), Title 42 Code of Federal Regulations, Sections 405.2163, 405.2171, 410.5, 410.32, 416.49, 416.107, 417.800, 418.92, 440.30, 482.27, 482.53, 483.75, 484.14, 485.58, 485.304, 488.54, 491.9 and 583.460.

1. New section filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40).
2. Amendment filed 12-28-73 as an emergency; designated effective 1-1-74. Certificate of Compliance included (Register 73, No. 52).
3. Amendment of subsection (a) filed 8-6-76; effective thirtieth day thereafter (Register 76, No. 32).
4. Change without regulatory effect adding NOTE (Register 86, No. 49).
5. Amendment of section heading, text and Note filed 1-20-94 as an emergency; operative 1-20-94 (Register 94, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-20-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 1-20-94 order including amendment of subsections (a)-(a)(1) and Note transmitted to OAL 5-19-94 and filed 7-1-94 (Register 94, No. 26).
7. Amendment of section and Note filed 8-28-97 as an emergency; operative 8-28-97 (Register 97, No. 35). A Certificate of Compliance must be transmitted to OAL by 12-26-97 or emergency language will be repealed by operation of law on the following day.
8. Editorial correction of subsections (b) and (c) (Register 98, No. 7).
9. Certificate of Compliance as to 8-28-98 order transmitted to OAL 12-24-97 and filed 2-9-98 (Register 98, No. 7).