Others titles

  • Medicare CLIA Data
  • Clinical Laboratory Payments

Keywords

  • CLIA Services
  • POS Data
  • Provider of Services
  • Healthcare Facilities
  • CLIA Laboratory
  • CLIA Providers
  • Clinical Laboratory Improvement Amendments
  • Provider of Services Current Files
  • Hospital Provider Data
  • Medicare Approved Providers

Provider of Services-CLIA

The dataset contains the data on characteristics of hospitals and other types of healthcare facilities, including the name and address of the facility and the type of Medicare services the facility provides, among other information. The dataset includes provider number, name, and address and characterizes the participating institutional providers.

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Description

The Place of Service (POS) file consists of two data files, one for Clinical Laboratory Improvement Amendments (CLIA) labs and one for 18 other provider types. The POS Extract is created from the QIES (Quality Improvement Evaluation System) database. These data include provider number, name, and address and characterize the participating institutional providers. The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices.

The data are collected through the Centers for Medicare & Medicaid Services (CMS) Regional Offices. The file contains an individual record for each Medicare-approved provider and is updated quarterly. The data is an invaluable resource to a variety of stakeholders, including researchers and application developers.

About this Dataset

Data Info

Date Created

2018-07-16

Last Modified

2020-10-08

Version

2020-10-08

Update Frequency

Quarterly

Temporal Coverage

1970-2020

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

CLIA Services, POS Data, Provider of Services, Healthcare Facilities, CLIA Laboratory, CLIA Providers, Clinical Laboratory Improvement Amendments, Provider of Services Current Files, Hospital Provider Data, Medicare Approved Providers

Other Titles

Medicare CLIA Data, Clinical Laboratory Payments

Data Fields

Name Description Type Constraints
Change_of_OwnershipNumber of times this provider has undergone a change of ownership.integerlevel : Ratio
Change_of_Ownership_DateEffective date of the most recent change of ownership for this provider.date-
CityCity in which the provider is physically located.string-
Is_Acceptable_POCIndicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies.boolean-
Is_Compliance_StatusCompliance status of a provider at the time of certification survey.boolean-
SSA_Acount_CodeSocial Security Administration geographic code indicating the county where the provider is located.string-
Cross_Reference_Provider_NumberCross reference provider numberstring-
Certification_DateEqual to the exit date of the initial visit of the Health survey for certifications completed after July 28, 2012.date-
Is_Eligible_To_ParticipateIndicates if a facility is eligible to participate in the Medicare and/or Medicaid programs.boolean-
Facility_NameName of the provider certified to participate in the Medicare and/or Medicaid programs.string-
Intermediary_or_Carrier_CodeNumber assigned to the Medicare Administrative Contractor, intermediary or carrier servicing this provider.string-
Original_Participation_DateDate a provider is first approved to provide Medicare and/or Medicaid services.date-
Prior_Change_of_Owner_DateEffective date of the previous change of ownership for this provider.date-
Prior_Intermediary_or_Carrier_CodeNumber assigned to the previous Medicare Administrative Contractor, intermediary or carrier servicing this provider.string-
Provider_NumberSix or ten position identification number that is assigned to a certified provider. This is the CMS Certification Number.string-
Region_CodeIndicates the CMS Regional Office responsible for the certification of the provider.string-
Is_Skeleton_Record_IndicatorIndicates if the record is a skeleton record. Only a limited set of data is available for this provider; no survey data exists. Only provider categories 01,17,19,21 and 22 can have skeleton providers.boolean-
State_AbbreviationTwo-character state abbreviation.string-
SSA_State_CodeSocial Security Administration geographic code indicating the state where the provider is located.string-
State_Region_CodeIdentifies the region within a state where the provider is located.string-
Street_AddressStreet address where the provider is located.string-
Phone_NumberTelephone number of the provider.string-
Program_TerminationIndicates the current termination status for the provider. (01 = VOLUNTARY-MERGER, CLOSURE, 02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT, 03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION, 04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL, 05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ, 06=INVOLUNTARY-FAILURE TO MEET AGREEMENT, 07=OTHER-PROVIDER STATUS CHANGE, 08=NONPAYMENT OF FEES - CLIA Only, 09=REV/UNSUCCESSFUL PARTICIPATION IN PT - CLIA Only,string-
Termination_or_Expiration_DateDate the provider was terminated. For CLIA providers, date the laboratory's certificate was terminated or the expiration date of the current CLIA certificate.date-
Type_of_ActionIdentifies the reason for the certification. Type of action from the official survey record, CMS 1539 form.string-
Ownership_TypeIndicates the ownership type of the provider. (01=RELIGIOUS AFFILIATION, 02=PRIVATE, 03=OTHER, 04=PROPRIETARY, 05=GOVERNMENT - CITY, 06=GOVERNMENT - COUNTY, 07=GOVERNMENT - STATE08=GOVERNMENT - FEDERAL, 09=GOVERNMENT - OTHER, 10=UNKNOWN)string-
ZIP_CodeFive-digit ZIP code for a provider's physical address.integerlevel : Nominal
FIPS_State_CodeFIPS State Codestring-
FIPS_County_CodeTotal amount that Medicare paid after deductible and coinsurance amount has been deducted for all the provider's line-item drug services, as defined from the Medicare Part B Drug ASP File.string-
CBSA_Urban_Rural_IndicatorCBSA (Core Based Statistical Area) indicates whether the county is defined as Urban or Rural.string-
CBSA_CodeCBSA (Core Based Statistical Area) geographic entities defined by the U.S. Office of Management and Budget (OMB) on June 6, 2003 for use by Federal statistical agencies in collecting, tabulating, and publishing Federal statistics.integerlevel : Nominal
Additional_Street_AddressSecond line of a laboratory's street address.string-
Affiliated_Provider_Number_1Affiliated provider number 1string-
Affiliated_Provider_Number_2Affiliated provider number 2string-
Affiliated_Provider_Number_3Affiliated provider number 3string-
Affiliated_Provider_Number_4Affiliated provider number 4string-
Affiliated_Provider_Number_5Affiliated provider number 5string-
Affiliated_Provider_Number_6Affiliated provider number 6string-
Affiliated_Provider_Number_7Affiliated provider number 7string-
Affiliated_Provider_Number_8Affiliated provider number 8string-
Is_Accredited_AALAIndicates if the Laboratory reported that it is accredited by the American Association for Laboratory Accreditation.boolean-
Accredited_AALA_DateDate the American Association for Laboratory Accreditation confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_AALAIndicates if the Laboratory is confirmed as accredited by the American Association for Laboratory Accreditation.boolean-
Is_Accredited_AABBIndicates if the Laboratory reported that it is accredited by the American Association of Blood Banks.boolean-
Accredited_AABB_DateDate the American Association of Blood Banks confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_AABBIndicates if the Laboratory is confirmed as accredited by the American Association of Blood Banks.boolean-
Is_Accredited_AOAIndicates if the Laboratory reported that it is accredited by the American Osteopathic Association.boolean-
Accredited_AOA_DateDate the American Osteopathic Association confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_AOAIndicates if the Laboratory is confirmed as accredited by the American Osteopathic Association.boolean-
Is_Accredited_ASHIIndicates if the Laboratory reported that it is accredited by the American Society for Histocompatibility and Immunogenetics.boolean-
Accredited_ASHI_DateDate the American Society for Histocompatibility and Immunogenetics confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_ASHIIndicates if the Laboratory is confirmed as accredited by the American Society for Histocompatibility and Immunogenetics.boolean-
Is_Accredited_CAPIndicates if the Laboratory reported that it is accredited by the College of American Pathologists.boolean-
Accredited_CAP_DateDate the College of American Pathologists confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_CAPIndicates if the Laboratory is confirmed as accredited by the College of American Pathologists.boolean-
Is_Accredited_COLAIndicates if the Laboratory reported that it is accredited by the Commission on Office Laboratory Accreditation.boolean-
Accredited_COLA_DateDate the Commission on Office Laboratory Accreditation confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_COLAIndicates if the Laboratory is confirmed as accredited by the Commission on Office Laboratory Accreditation.boolean-
Is_Accredited_JCAHOIndicates if the Laboratory reported that it is accredited by the Joint Commission.boolean-
Accredited_JCAHO_DateDate the Joint Commission confirmed the Laboratory is accredited. When the Laboratory is accredited by multiple accrediting organizations, the earliest Y match date initiates billing of the certificate of accreditation fees.date-
Is_Confirmed_Accredited_JCAHOIndicates if the Laboratory is confirmed as accredited by the Joint Commission on Accreditation of Healthcare Organizations JCAHO.boolean-
Application_Received_DateDate the CMS-116 application was entered in the online system and a CLIA number was issued.date-
Application_TypeType of CLIA certificate applied for by a laboratory. (1=COMPLIANCE, 2=WAIVER, 3=ACCREDITATION, 4=Provider Performed Microscopy)string-
Category_Specific_Facility_Type_CodeIndicates the category-specific facility type code, for certain provider categories only. (01=Ambulance, 02=Ambulatory Surgery Center, 03=Ancillary Test Site, 04=Assisted Living Facility, 05=Blood Banks, 06=Community Clinic, 07=Comprehensive Outpatient Rehab, 08=End Stage Renal Disease Dialysis, 09=Federally Qualified Health Center, 10=Health Fair,string-
CLIA_Certificate_Effective_DateStart date of the certificate.date-
CLIA_Certificate_Mailed_DateDate the certificate was generated for mailing.date-
CLIA_Certificate_Type_CodeType of certificate issued to the laboratory, based on the application type code. (1=COMP, 2=WAIVER, 3=ACCRED, 4=Provider Performed Microscopy, 9=REG)string-
Current_CLIA_Lab_Classification_CodeCurrent Laboratory Classification code and description (00=CLIA LABORATORY, 05=CLIA EXEMPT LABORATORY, 10=CLIA VA LABORATORY)string-
CLIA_Medicare_NumberContains medicare numbers from prior to CLIA88. Optional field.string-
CLIA_Termination_CodeIdentifies a laboratory's active or terminated status. If terminated, identifies the reason. (00=ACTIVE PROVIDER, 01=VOLUNTARY-MERGER, CLOSURE, 02=VOLUNTARY-DISSATISFACTION WITH REIMBURSEMENT, 03=VOLUNTARY-RISK OF INVOLUNTARY TERMINATION, 04=VOLUNTARY-OTHER REASON FOR WITHDRAWAL, 05=INVOLUNTARY-FAILURE TO MEET HEALTH/SAFETY REQ, 06=INVOLUNTARY-FAILURE TO MEET AGREEMENT, 07=OTHER-PROVIDER STATUS CHANGE, 08=NONPAYMENT OF FEES,string-
Accreditation_Schedule_CodeIndicates the Laboratory accreditation schedule code calculated by the CLIA system, based on the information in the most recent CMS-116 application form. Applies only to Laboratory with a certificate of accreditation. (A=SPEC COUNT < 4 (2,001 TO 10,000 TOT. VOL.), B=SPEC COUNT > 3 (2,001 T0 10,000 TOT. VOL.), C=SPEC COUNT < 4 (10,001 TO 25,000 TOT. VOL.),string-
Sum_for_All_SpecialtiesSum for all specialties as reported on the most recent CMS-116 application form. Applies only to Laboratory with a certificate of accreditation.integerlevel : Ratio
Annual_Test_VolumeAnnual test volume countintegerlevel : Ratio
Director_Affiliated_Lab_CountNumber of laboratories with which the Laboratory director is affiliated.integerlevel : Ratio
Fax_Number10-digit fax phone number of the primary contact or the operator of the provider.integerlevel : Nominal
Fiscal_Year_End_DateEnd date, consisting of the month and day, of the provider's fiscal year.string-
Is_Multiple_Site_Certificate_IndicatorIndicates if a Laboratory has applied for a single site CLIA certificate to cover multiple testing locations.boolean-
Is_Hospital_Campus_IndicatorIndicates if the single site CLIA certificate is for a hospital with several Laboratory on a single hospital campus and under common direction.boolean-
Is_Non_Profit_Multiple_Site_ExceptionIndicates if the single site CLIA certificate is for multiple sites with non-profit, federal, state or local government status and engaged in limited public health testing.boolean-
Is_Temporary_Testing_SiteIndicates if the single site CLIA certificate is for a Laboratory with multiple temporary testing sites.boolean-
Multiple_Site_Lab_CountTotal number of Laboratory sites for which a lab has applied for a single certificate for multiple sites.integerlevel : Ratio
PPM_Test_Volume_CountEstimated total annual Provider Performed Microscopy tests performed by the Laboratory.integerlevel : Ratio
Provider_Name_2nd_LineSecond line of a laboratory name.string-
Is_Shared_Lab_IndicatorApplies to physician office Laboratory when two or more physicians collectively pool resources to fund a Laboratory operation.boolean-
Shared_Lab_Xref_NumberShared Laboratory xref numberstring-
Survey_Compliance_Certificate_Schedule_CodeCertificate Compliance schedule code based on the information gathered at survey.string-
Test_Volume_CountSum of tests performed annually in a laboratory, as verified at the time of the state survey.string-
Waived_Test_Volume_CountEstimated total annual waived tests performed by the lab.integerlevel : Ratio

Data Preview

Change of OwnershipChange of Ownership DateCityIs Acceptable POCIs Compliance StatusSSA Acount CodeCross Reference Provider NumberCertification DateIs Eligible To ParticipateFacility NameIntermediary or Carrier CodeOriginal Participation DatePrior Change of Owner DatePrior Intermediary or Carrier CodeProvider NumberRegion CodeIs Skeleton Record IndicatorState AbbreviationSSA State CodeState Region CodeStreet AddressPhone NumberProgram TerminationTermination or Expiration DateType of ActionOwnership TypeZIP CodeFIPS State CodeFIPS County CodeCBSA Urban Rural IndicatorCBSA CodeAdditional Street AddressAffiliated Provider Number 1Affiliated Provider Number 2Affiliated Provider Number 3Affiliated Provider Number 4Affiliated Provider Number 5Affiliated Provider Number 6Affiliated Provider Number 7Affiliated Provider Number 8Is Accredited AALAAccredited AALA DateIs Confirmed Accredited AALAIs Accredited AABBAccredited AABB DateIs Confirmed Accredited AABBIs Accredited AOAAccredited AOA DateIs Confirmed Accredited AOAIs Accredited ASHIAccredited ASHI DateIs Confirmed Accredited ASHIIs Accredited CAPAccredited CAP DateIs Confirmed Accredited CAPIs Accredited COLAAccredited COLA DateIs Confirmed Accredited COLAIs Accredited JCAHOAccredited JCAHO DateIs Confirmed Accredited JCAHOApplication Received DateApplication TypeCategory Specific Facility Type CodeCLIA Certificate Effective DateCLIA Certificate Mailed DateCLIA Certificate Type CodeCurrent CLIA Lab Classification CodeCLIA Medicare NumberCLIA Termination CodeAccreditation Schedule CodeSum for All SpecialtiesAnnual Test VolumeDirector Affiliated Lab CountFax NumberFiscal Year End DateIs Multiple Site Certificate IndicatorIs Hospital Campus IndicatorIs Non Profit Multiple Site ExceptionIs Temporary Testing SiteMultiple Site Lab CountPPM Test Volume CountProvider Name 2nd LineIs Shared Lab IndicatorShared Lab Xref NumberSurvey Compliance Certificate Schedule CodeTest Volume CountWaived Test Volume Count
0ALABASTERFalse5801993-02-23FalseSHELBY BAPTIST MEDICAL CENTER1993-02-2301D00263564TrueAL1LAB1000 FIRST STREET NORTH205620890502021-02-084350071117U1382001D030503001D064153101D066347601D067155501D068614901D1091448FalseFalseFalseFalseFalseFalseFalse2000-09-19True1993-02-233142019-02-092019-01-1530100160J1876795062056207902.0FalseFalseFalseFalse00False021061
0CULLMANFalse2101992-12-24FalseWOODLAND COMMUNITY HOSPITAL LAB1992-12-2401D00264284TrueAL1LAB1910 CHEROKEE AVE SW256739350012009-07-15435055143R9990101D030257801D0301737FalseFalseFalseFalseFalseFalseFalse1992-12-243142009-02-282009-01-3130101431002FalseFalseFalseFalse00False0440
0CULLMANFalse21001D03001431992-12-24FalseCULLMAN REGIONAL MED CTR/RESP CARE DEP1992-12-2401D00264384TrueAL1LAB1912 AL HIGHWAY 1572567372494132016-09-08335055143R99901FalseFalseFalseFalseFalseFalseFalse1992-12-243142015-02-282015-02-033010035130002567372473.0FalseFalseFalseFalse00False00
0PELL CITYFalseFalse5702006-12-13TrueST VINCENT'S ST CLAIR HOSPITAL LABORATORY1992-09-0101D00264984FalseAL117063 VETERANS HWY205814244202021-09-032.01351251115U1382001D030075801D0301578FalseFalseFalseFalseFalseFalseFalse2013-01-31True1993-01-073142019-09-042019-08-0630101300H285263022058142117.0630.0FalseFalseFalseFalse00False012801
0TALLADEGAFalseTrue6002009-06-24TrueCITIZENS BAPTIST MEDICAL CENTERS LAB1992-09-0101D00265314FalseAL11604 STONE AVENUE256761422702021-01-025.01351601121R9990101D070789801D089702701D089801001D1070851FalseFalseFalseFalseFalseFalseFalse1995-01-03True1993-03-293142019-01-032019-01-22300101H0H358535042567614594.0630.0FalseFalseFalseFalse00False022637
0BIRMINGHAMFalse3601992-12-28FalseUAB HIGHLANDS LABORATORY1992-12-2801D00265624TrueAL111201 11TH AVENUE SOUTH205930703002021-02-08735205173U1382001D092709201D099518701D1026037FalseFalseFalseFalseFalse1995-02-09TrueFalseFalse1992-12-283142019-02-092019-01-1530101210I808615032059307141.0FalseFalseFalseFalse00False01500
0BIRMINGHAMFalse3601994-03-02FalseST VINCENT'S BIRMINGHAM RESP ABG LAB1994-03-0201D00265634TrueAL11810 ST VINCENTS DRIVE205930288602021-03-14235205173U1382001D066588801D2042730FalseFalseFalseFalseFalse1995-03-15TrueFalseFalse1994-03-023142019-03-152019-02-1930100560C17529022059302126.0FalseFalseFalseFalse00False00
0BIRMINGHAMFalse3601993-01-08FalseAMER CAST IRON PIPE CO HLTH SERV LAB1993-01-0801D00265814TrueAL1LAB1501 31ST AVENUE NORTH205325701882006-04-29235207173U13820FalseFalseFalseFalseFalseFalseFalse1993-01-08332004-04-302004-04-0630510192138000FalseFalseFalseFalse00False057503
0BIRMINGHAMTrueTrue3602000-05-19TrueMCE-FAMILY HEALTHCARE HUFFMAN1992-09-0101D00266494FalseAL119823 PARKWAY EAST205854655612001-06-012.0435215173U13820FalseFalseFalseFalseFalseFalseFalse1992-12-221212000-08-312000-10-1810831921000630.0FalseFalseFalseFalse00False062
0BESSEMERTrueTrue36001D09531531995-02-15TrueJCDH-BESSEMER HEALTH CENTER1992-09-0101D00267024FalseAL112201 ARLINGTON AVENUE2054246001132011-01-031.0635020173U1382001D030145101D030145901D0641495FalseFalseFalseFalseFalseFalseFalse1993-01-15462009-05-012009-04-054013003930.0FalseFalseFalseFalse01487False013000