An advanced practice nurse shall be licensed to practice as described in COMAR 10.09.01. A doctor of medicine or osteopath shall be licensed and legally authorized to practice medicine in the state in which the service is delivered as described in COMAR 10.09.02. A physician assistant must be licensed to practice as described in COMAR 10.09.55. Medical laboratories shall ensure that Clinical Laboratory Improvement Amendments (CLIA) certification exists for all clinical laboratory services performed, and, if located: In Maryland or out-of-State with representation or specimen pick-up in Maryland, comply with the requirements of Health-General Article, §§17-202, 17-212, and 17-214.1, Annotated Code of Maryland, and COMAR 10.10.01; or Out-of-State without representation or specimen pick-up in Maryland, comply with other applicable standards established by the state and locality in which the services are provided. A pharmacy may not qualify as a provider without first having obtained a permit from the: Department pursuant to Health Occupations Article, Title 12, Annotated Code of Maryland; or Appropriate agency in the state in which the pharmacy is located. Physician office and other point-of-care laboratories shall ensure that Clinical Laboratory Improvement Amendments (CLIA) certification exists for all clinical laboratory services performed, and, if located: In Maryland, comply with the requirements of Health-General Article, Title 17, Subtitles 2 and 3, Annotated Code of Maryland, and COMAR 10.10.06; or Out-of-State, comply with other applicable standards established by the state and locality in which the services are provided.