In order to participate in the Program, the provider shall: Meet all requirements as set forth in COMAR 10.09.36.02; and Ensure that Clinical Laboratory Improvement Amendments (CLIA) certification exists for all clinical laboratory services performed and if located: In Maryland, comply with 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 or locality in which the service is provided.