CLIA, COLA and CAP Application Processing
Application Processing Service & Rates
Lighthouse Lab Services excels in helping developing laboratories complete their COLA, CAP and CLIA applications and certifications. We know the certification process can be long, complex, and frustrating. With our extensive experience, we streamline the entire CLIA, COLA, and CAP application process from start to finish.

Our Application Processing Approach
Our team guides clients through the complex federal and state regulatory landscape when starting a new lab or expanding their test menu.
We take a comprehensive approach, including recruiting a qualified Laboratory Director, determining the test menu, enrolling with deemed agencies, handling ownership disclosures, creating validation plans, and filing the CMS 116 application.
While providing strategic guidance, we ensure our clients quickly and compliantly start testing with CLIA, COLA, and CAP accreditation.
Bringing Your Lab to Compliance
Most labs that are found to be non-compliant due to ignorance and not malicious intent, but that is not a valid excuse to inspectors. We help our clients avoid making costly compliance mistakes. Our team of industry experts has guided hundreds of labs successfully through this process and can do the same for you.
Assessing Your Laboratory
Our application process team reviews applicable state and federal laboratory quality requirements and how they apply to your laboratory. Then, we assess your lab’s current level of compliance with compliance checklists, mock inspections, lab director assessments, and more.
Lab Preparation
Once your lab has been prepared for the CMS 116 application process, we guide you through any equipment updates, operational procedures, or staff changes necessary to guarantee your lab’s accreditation process.
Completing Credentialing
Once your lab assessment is complete, we begin the application process for CLIA licensure, CAP, and COLA accreditation. Once your application(s) are complete, we file those for you. From beginning to end, you have peace of mind knowing that your accreditation is assured.
We successfully filed over 230 CLIA applications in the last two years (2020-2021) with most of our clients receiving their CLIA Certificate of Registration in less than a month.
Comprehensive CLIA, COLA, and state license application processing services rates are as follows:
- CLIA – Starts at $1,000
- CMS Region VI Toxicology Specialty – $3,500
- COLA – $1,000
- NPI – $500
- Medicare – $5,500
- California – $5,500
- Maryland – $3,000
- New York – Starts at $5,500
- Nevada – Starts at $4,500
- Pennsylvania – $2,500
- Rhode Island – $2,500
NOTE: Prices may vary

Many states allow out-of-state laboratories to accept specimens, but a number require special licensure or permitting. Our team helps laboratories apply in every state they plan to enter, so your team can focus on your lab’s operations and growth.
Thought Leadership & Webinars
Related Services
Looking into starting a laboratory testing business but not sure where to begin? Lighthouse Lab Services has the expertise to get your lab running in as little as 90 days. Whether you are building a lab from the ground up, adding new lines of testing, or simply adding testing capacity – we’re here to help!
Our laboratory inspection preparation services identify potential issues prior to federal inspections and serve as due diligence inspections for those seeking to purchase existing clinical laboratories. Our services isolate and address any issues before your upcoming CLIA, COLA, or CAP inspection.