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NC Department of Health and Human Services
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Laboratory Services

DMA Clinical Policy and Programs
Phone Number (919) 855-4260
Fax (919) 733-2796

A laboratory is any facility that performs laboratory testing on specimens derived from humans for the purpose of providing information for the diagnosis, prevention, or the treatment of or impairment of disease, or for the assessment of health.

  • An outside laboratory is a facility not directly associated with a particular clinic, hospital or individual practice.
  • Referral laboratory services are used by outside laboratories that do not have the means to test certain specimens.

Under the Clinical Laboratory Improvement Amendments of 1988, all laboratories that examine human specimens for the diagnosis, prevention, or treatment of any disease or impairment, or for assessment of the health of a human being must meet certain requirements to perform the examination.

Clinical Coverage Policies

Additional information about Laboratory Services is available in the January 2001, Laboratory Services Provider Seminar Handout.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.