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Clinical Establishment Registration: Fee Structure, Rules & Process

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In India, the healthcare industry is rapidly evolving, and with that evolution comes the need for regulatory compliance. One of the most crucial requirements for any health facility—be it a hospital, clinic, lab, or diagnostic center—is Clinical Establishment Registration under the Clinical Establishment (Registration and Regulation) Act, 2010.

What is Clinical Establishment Registration?

The Clinical Establishment Act A required license, registration guarantees that healthcare institutions fulfill minimal requirements for infrastructure, human resources, safety, hygienic conditions, and quality. This law, which was introduced by the Clinical Establishment (Registration and Regulation) Act, 2010, attempts to standardize and regulate all government and commercial healthcare facilities in India.

Who Needs to Register?

The following businesses are required to register under the Act:

  • Private hospitals

  • Clinics (allopathic, ayurvedic, homeopathy, etc.)

  • Diagnostic laboratories

  • Imaging centers (X-ray, MRI, CT Scan, etc.)

  • Physiotherapy centers

  • Daycare centers, nursing homes

  • Government-run health facilities (as applicable)

Clinical Establishment Online Registration

Online registration for clinical establishments is now available in the majority of Indian states and union territories to expedite the procedure. Through the National Health site or the corresponding State Health Department site, facilities can submit an application.

Website for National Registration:
www.clinicalestablishments.gov.in

Note: States like Tamil Nadu, Kerala, Uttar Pradesh, Bihar, Jharkhand, Assam, and Rajasthan have adopted the central act. Others follow their own state-specific regulations.

Clinical Establishment Registration and Regulation Act, 2010 – Key Provisions

  • Mandatory registration for all establishments (existing and new)

  • Minimum standards must be met for infrastructure, human resources, and equipment

  • Maintenance of digital records and transparency in services and pricing

  • Display of rate charts and adherence to fair pricing

  • Regular renewal and inspections to ensure ongoing compliance

Necessary Documents for Registration

Here’s a list of documents typically required for clinical establishment registration:

  • PAN card and Aadhaar of applicant

  • Ownership/rental proof of premises

  • Qualification certificates of medical professionals

  • Staff details and photographs

  • Fire NOC, Bio-medical waste management certificate

  • Electricity and water bill as proof of address

  • Affidavit on stamp paper (if required by the state)

  • Building layout or plan

  • Consent from Pollution Control Board (if required)

Clinical Establishment Registration Fees

The clinical establishment registration fees vary based on the type, size, and location of the facility. Here is a general idea:

Type of Establishment Approximate Fee (INR)
Small Clinic (1–5 beds) ₹3,000 – ₹5,000
Medium Hospital (6–30 beds) ₹10,000 – ₹25,000
Large Hospitals (31+ beds) ₹30,000 – ₹50,000+
Diagnostic Labs ₹5,000 – ₹10,000
Imaging Centers ₹10,000 – ₹20,000

Registration Process: Step-by-Step

Step 1: Sign Up on the Portal

Visit your state’s official health department portal or the National Clinical Establishment Portal and create an account.

Step 2: Fill the Application Form

Submit details about your clinic/hospital/lab, including staff, services, location, etc.

Step 3: Upload Documents

Scan and upload all required documents in prescribed formats (PDF/JPEG).

Step 4: Pay the Fee

Pay the clinical establishment registration fees via online payment gateway.

Step 5: Inspection (If Applicable)

Some state authorities may schedule an on-site inspection before issuing the certificate.

Step 6: Grant of Registration Certificate

Your registration certificate will be issued to you after verification; it is typically good for three to five years. Maintain a copy on display at your establishment.

Renewal of Clinical Establishment Registration

  • Renewal Period: Every 3 to 5 years, depending on the state

  • Process: Similar to initial application, with updated documents and fee

  • Penalty for Delay: May attract fines or cancellation of registration

Final Thought

Clinical establishment registration is a must for all medical professionals, whether they are starting their first clinic or starting a diagnostic chain as an entrepreneur. In the healthcare industry, it is not just a legal need but also a symbol of professionalism, trust, and reliability.

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