[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR493.567] [Page 994] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 493_LABORATORY REQUIREMENTS--Table of Contents Subpart E_Accreditation by a Private, Nonprofit Accreditation Organization or Exemption Under an Approved State Laboratory Program Sec. 493.567 Refusal to cooperate with validation inspection. (a) Laboratory with a certificate of accreditation. (1) A laboratory with a certificate of accreditation that refuses to cooperate with a validation inspection by failing to comply with the requirements in Sec. 493.565-- (i) Is subject to full review by CMS or a CMS agent, in accordance with this part; and (ii) May be subject to suspension, revocation, or limitation of its certificate of accreditation under this part. (2) A laboratory with a certificate of accreditation is again deemed to meet the condition-level requirements by virtue of its accreditation when the following conditions exist: (i) The laboratory withdraws any prior refusal to authorize its accreditation organization to release a copy of the laboratory's current accreditation inspection, PT results, or notification of any adverse actions resulting from PT failure. (ii) The laboratory withdraws any prior refusal to allow a validation inspection. (iii) CMS finds that the laboratory meets all the condition-level requirements. (b) CLIA-exempt laboratory. If a CLIA-exempt laboratory fails to comply with the requirements specified in Sec. 493.565, CMS notifies the State of the laboratory's failure to meet the requirements.