A free-standing birth center shall be certified by the Commission for the Accreditation of Birth Centers, and: Be licensed to operate in Maryland pursuant to Health General Article 19, Subtitle 3b, Annotated Code of Maryland and in accordance with the requirements as set forth in COMAR 10.05.02; or If located out-of-State, comply with the regulations of the jurisdiction in which the free-standing birth center is located. The free-standing birth center shall 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 If located out-of-State, comply with other applicable standards established by the state or locality in which the service is provided. A CNM providing services in a free-standing birth center shall meet the license requirements in accordance with COMAR 10.09.21.02B. A physician providing services in a free-standing birth center shall meet the requirements in accordance with COMAR 10.09.02.02B.