2025-23434Notice

COLA Gets Nod for Genetic and Radiation Lab Accreditations

Published Date: 12/19/2025

Notice

Summary

Great news for clinical labs! Starting January 20, 2026, COLA is officially approved to check labs specializing in Clinical Cytogenetics and Radiobioassay, making sure they meet top-quality standards under federal rules. This approval lasts five years and means labs have a trusted new option for accreditation without extra costs or delays.

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

COLA Granted 5-Year Deeming Authority

Starting January 20, 2026, COLA is approved to accredit laboratories in the specialties of Clinical Cytogenetics and Radiobioassay and has deeming authority through January 20, 2031 (a 5-year period). CMS determined COLA's accreditation requirements meet or exceed CLIA rules, including applicable sections of subparts H, I, J, K, M, Q, and R.

COLA-Accredited Labs Generally Avoid Routine State Surveys

Any laboratory accredited by COLA between January 20, 2026 and January 20, 2031 will be deemed to meet CLIA requirements for Clinical Cytogenetics and Radiobioassay and therefore generally will not be subject to routine inspections by a State survey agency during that time.

Federal Validation and Complaint Inspections Continue

COLA-accredited laboratories remain subject to Federal validation inspections on a representative sample basis and to complaint-driven inspections performed by CMS, its agents, or State survey agencies during the approval period.

COLA Approval Can Be Probationed or Revoked

CMS may rescind COLA's approval before January 20, 2031 if COLA fails to maintain CLIA-equivalent requirements or has systemic problems; CMS may impose a probationary period not to exceed 1 year. COLA will report denial, suspension, or revocation of a laboratory's accreditation to CMS within 30 days and provides an appeal process for accredited labs.

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Key Dates

Published Date
Effective Date
12/19/2025
1/20/2026

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Centers for Medicare & Medicaid Services
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