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Clinical Laboratories

Source: R/api-clia.R
clia.Rd

Clinical laboratories including demographics and the type of testing services the facility provides.

Usage

clia(
  facility_name = NULL,
  facility_ccn = NULL,
  parent_ccn = NULL,
  certificate = NULL,
  accreditation = NULL,
  city = NULL,
  state = NULL,
  zip = NULL,
  compliant = NULL,
  active = NULL,
  count = FALSE,
  set = FALSE
)

Source

Arguments

facility_name

<chr> Provider/Laboratory name

facility_ccn

<chr> 10-digit CMS Certification Number

parent_ccn

<chr> 6-digit CMS Certification Number

certificate

<enum> CLIA certificate type (see Details):

  • "waiver" = Waiver

  • "ppm" = Provider-Performed Microscopy (PPM)

  • "registration" = Registration

  • "compliance" = Compliance

  • "accreditation" = Accreditation

accreditation

<enum> CLIA accrediting organization (see Details):

  • "a2la" = A2LA

  • "aabb" = AABB

  • "aoa" = AOA

  • "ashi" = ASHI-HLA

  • "cap" = CAP

  • "cola" = COLA

  • "jcaho" = JCAHO

city, state, zip

<chr> Lab city, state, zip

compliant

<lgl> Return only compliant or non-compliant labs

active

<lgl> Return only active labs

count

<lgl> Return the total row count

set

<lgl> Return the entire dataset

Value

A tibble containing the search results.

CLIA

CMS regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments. In total, CLIA covers approximately 320,000 laboratory entities.

Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities.

Certification

There are five CLIA certificate types, all of which are effective for a period of two years. They are as follows, in order of increasing complexity:

  1. Waiver: Laboratory can only perform waived tests, those that are simple to perform. Although routine inspections are not conducted, 2% are visited annually to ensure quality. Does not waive the lab from all CLIA requirements.

  2. Provider-Performed Microscopy (PPM): In addition to waived tests, a physician, mid-level practitioner or dentist can perform limited tests of moderate complexity requiring microscopic examination. No routine inspections are conducted.

  3. Registration: Laboratory has applied for a Compliance or Accreditation certificate, enabling it to conduct moderate/high complexity testing until the survey is completed. Includes PPM and waived testing.

  4. Compliance: Allows the laboratory to conduct moderate/high complexity testing and is issued after an inspection finds the lab to be in compliance with all applicable CLIA requirements. Includes PPM and waived testing.

  5. Accreditation: Exactly the same as Compliance, except that the laboratory is accredited by one of the CMS-approved organizations:

Examples

clia(count = TRUE)
#> ℹ clia has 676,051 rows.

clia(compliant = FALSE, active = TRUE, count = TRUE)
#> ✔ clia returned 2,578 results.

clia(facility_ccn = provider:::cdc_labs$ccn)
#> ✔ clia returned 6 results.
#> # A tibble: 6 × 82
#>   fac_name_1    fac_name_2 facility_ccn parent_ccn related_ccn xref  chown chowd
#> * <chr>         <chr>      <chr>        <chr>      <chr>       <chr> <chr> <chr>
#> 1 CDC ARCTIC I… CENTERS F… 02D0873639   NA         NA          NA    0     NA   
#> 2 CENTERS FOR … DIVISION … 06D0880233   NA         NA          NA    0     NA   
#> 3 CDC/NCEH/DIV… NA         11D0668290   NA         NA          NA    0     NA   
#> 4 CENTERS FOR … NA         11D0668319   NA         NA          NA    0     NA   
#> 5 CDC/CGH/DGHA… ATTENTION… 11D1061576   NA         NA          NA    0     NA   
#> 6 CENTERS FOR … DENGUE BR… 40D0869394   NA         NA          NA    0     NA   
#> # ℹ 74 more variables: chowd_2 <chr>, poc <chr>, compliant <chr>, add_1 <chr>,
#> #   add_2 <chr>, phone_1 <chr>, phone_2 <chr>, city <chr>, state <chr>,
#> #   zip <chr>, reg_cd <chr>, reg_st <chr>, ssa_st <chr>, ssa_cty <chr>,
#> #   fips_st <chr>, fips_cty <chr>, cbsa_1 <chr>, cbsa_2 <chr>, elig <chr>,
#> #   term_pgm <chr>, term_clia <chr>, app_type <chr>, cert_type <chr>,
#> #   fac_type <chr>, owner <chr>, action <chr>, orig_date <chr>, app_date <chr>,
#> #   cert_date <chr>, eff_date <chr>, mail_date <chr>, term_date <chr>, …

clia(certificate = c("accreditation", "registration"), city = "Valdosta", state = "GA")
#> ✔ clia returned 18 results.
#> # A tibble: 18 × 82
#>    fac_name_1   fac_name_2 facility_ccn parent_ccn related_ccn xref  chown chowd
#>  * <chr>        <chr>      <chr>        <chr>      <chr>       <chr> <chr> <chr>
#>  1 SGMC HEALTH  NA         11D0022233   110122     NA          NA    0     NA   
#>  2 SGMC- SMITH… NA         11D0022241   110037     NA          NA    0     NA   
#>  3 SMITH & DEN… NA         11D0265567   254623647A NA          NA    0     NA   
#>  4 QUEST DIAGN… SOLSTAS L… 11D0646134   11L0008004 NA          NA    0     NA   
#>  5 SOUTH GA ME… NA         11D0680179   110122     NA          NA    0     NA   
#>  6 NORTHSIDE M… WILLIAM C… 11D0902131   NA         NA          NA    0     NA   
#>  7 SOUTH GEORG… NA         11D0914178   NA         NA          NA    0     NA   
#>  8 SOUTHERN PH… NA         11D0960358   NA         NA          NA    0     NA   
#>  9 VALDOSTA CB… NA         11D1001568   NA         NA          NA    0     NA   
#> 10 ALLEGIANT S… NA         11D1065138   NA         NA          NA    0     NA   
#> 11 CARE MEDICA… NA         11D2027917   NA         NA          NA    0     NA   
#> 12 GULF COAST … NA         11D2053438   NA         NA          NA    0     NA   
#> 13 BPC PLASMA,… NA         11D2079448   NA         NA          NA    0     NA   
#> 14 SOUTH GEORG… NA         11D2101175   NA         NA          NA    0     NA   
#> 15 SGMC POINT … NA         11D2144796   NA         NA          NA    0     NA   
#> 16 SGMC FAMILY… NA         11D2144934   NA         NA          NA    0     NA   
#> 17 OCTAPHARMA … NA         11D2193538   NA         NA          NA    0     NA   
#> 18 VEEDHATA OM… NA         11D2223235   NA         NA          NA    0     NA   
#> # ℹ 74 more variables: chowd_2 <chr>, poc <chr>, compliant <chr>, add_1 <chr>,
#> #   add_2 <chr>, phone_1 <chr>, phone_2 <chr>, city <chr>, state <chr>,
#> #   zip <chr>, reg_cd <chr>, reg_st <chr>, ssa_st <chr>, ssa_cty <chr>,
#> #   fips_st <chr>, fips_cty <chr>, cbsa_1 <chr>, cbsa_2 <chr>, elig <chr>,
#> #   term_pgm <chr>, term_clia <chr>, app_type <chr>, cert_type <chr>,
#> #   fac_type <chr>, owner <chr>, action <chr>, orig_date <chr>, app_date <chr>,
#> #   cert_date <chr>, eff_date <chr>, mail_date <chr>, term_date <chr>, …

clia(accreditation = c("cap", "cola", "jcaho"))
#> ✔ clia returned 1 result.
#> # A tibble: 1 × 82
#>   fac_name_1    fac_name_2 facility_ccn parent_ccn related_ccn xref  chown chowd
#> * <chr>         <chr>      <chr>        <chr>      <chr>       <chr> <chr> <chr>
#> 1 LEXINGTON ME… NA         42D0665325   420073     NA          NA    0     NA   
#> # ℹ 74 more variables: chowd_2 <chr>, poc <chr>, compliant <chr>, add_1 <chr>,
#> #   add_2 <chr>, phone_1 <chr>, phone_2 <chr>, city <chr>, state <chr>,
#> #   zip <chr>, reg_cd <chr>, reg_st <chr>, ssa_st <chr>, ssa_cty <chr>,
#> #   fips_st <chr>, fips_cty <chr>, cbsa_1 <chr>, cbsa_2 <chr>, elig <chr>,
#> #   term_pgm <chr>, term_clia <chr>, app_type <chr>, cert_type <chr>,
#> #   fac_type <chr>, owner <chr>, action <chr>, orig_date <chr>, app_date <chr>,
#> #   cert_date <chr>, eff_date <chr>, mail_date <chr>, term_date <chr>, …