The fees for obtaining a CLIA certificate vary depending on the size and complexity of the laboratory and the services it offers. The fees include an application fee, an inspection fee, and an annual registration fee. The application fee covers the cost of processing the application and may include fees for each site covered under the certificate. The inspection fee covers the cost of the on-site inspection and may be based on the number of tests performed or the number of personnel at the laboratory. The annual registration fee covers the cost of maintaining the certificate and may be based on the number of tests performed or the size of the laboratory.