81003 is a CLIA waived test so from my understanding you wouldn't have to be CLIA certified to perform/bill that specific code.
If you aren't CLIA certified yet, it's the non CLIA waived tests that you won't get reimbursement on if you perform/bill.
The QW modifier is required on the CLIA waived tests, such as 81003 whether you are CLIA certified or not...except for a few specific codes where the modifier isn't required (even though they are specifically noted as CLIA waived)...see link:
Others may have other information about it, but this is my understanding of it...
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