This tool allows users to searchdemographicinformation about CLIA-certified laboratories using CLIA numbers, facility names, addresses, geographic locations, or typesof CLIA certificates. Brief. Temporary Emergency License for Out-of-State Practitioners 7. > exactly as they appear on the CLIA certificate. We further certify that testing will not be performed until all applicable State and Federal certificates, licenses and required approvals have been obtained.Signature of DirectorDateSignature of OwnerDateSignature of OwnerDateSignature of OwnerDate APPLICATION FOR A CLINICAL LABORATORY LICENSE, Continued CL-18 JUL 12 k ! Want to learn more? CAP programs provide an engaging, dynamic, collaborative process that fosters an environment of continuous improvement. Cookies used to make website functionality more relevant to you. The new enactments require: 1) clinical laboratories to record and report certain patient demographic information, namely race, ethnicity, sexual orientation and gender identity; 2) clinical laboratory electronic medical records systems and manual requisition forms to include demographic data entry features; and 3) clinical laboratories to Verification - Welcome to New Jersey's DCA MyLicense Site Google Translate is an online service for which the user pays nothing to obtain a purported language translation. The Office of Quality Assurance (OQA) offers certification for environmental testing laboratories to ensure that regulatory decisions made by federal, state, and municipal government agencies are based upon accurate and dependable analytical data. Most of these are small to medium sized laboratories; and are laboratory facilities servicing a specific facility (water purveyor, industry, municipal authority). endstream endobj 7 0 obj <> endobj 8 0 obj <>>>/Rotate 0/Type/Page>> endobj 9 0 obj <> endobj 10 0 obj <> endobj 11 0 obj [0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 250 277 500 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389 0 0 0 0 0 0 0 0 556 0 0 0 0 0 722 0 0 0 0 0 0 0 443 0 0 0 443 0 500 500 0 277 0 277 777 500 500 0 0 333 0 277 0 500 722 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0] endobj 12 0 obj <> endobj 13 0 obj <> endobj 14 0 obj [0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 354 0 0 0 0 0 333 333 0 0 277 333 277 277 556 556 556 556 556 556 556 0 556 556 277 0 0 0 0 0 0 666 666 722 722 666 610 0 722 277 500 0 556 833 722 777 666 0 722 666 610 722 666 943 666 666 0 0 0 0 0 0 0 556 556 500 556 556 277 556 556 222 222 500 222 833 556 556 556 556 333 500 277 556 500 722 500 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0] endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj [0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 722 0 0 0 777 0 0 0 0 556 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 556 0 0 0 222 0 0 0 833 556 556 0 0 333 500 277 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0] endobj 18 0 obj <> endobj 19 0 obj <>stream They help us to know which pages are the most and least popular and see how visitors move around the site. The user is on notice that neither the State of NJ site nor its operators review any of the services, information and/or content from anything that may be linked to the State of NJ site for any reason. $  j 5CJ OJ QJ U jH 5CJ OJ QJ U j 5CJ OJ QJ U j\ 5CJ OJ QJ U OJ QJ j 5CJ OJ QJ UmH j 5CJ OJ QJ U j 5CJ OJ QJ U CJ OJ QJ 5CJ OJ QJ 1 All information these cookies collect is aggregated and therefore anonymous. Public Health and Environmental Laboratories - Government of New Jersey Your email has been added to the limited 0000002156 00000 n Switch to Business Search . CJ OJ QJ Uj CJ OJ QJ Uj $ ! 0000008108 00000 n _ $$ T H 44 H(")` ` { 4 \ ^ | @ l T $ ! . Select a profession and/or licensee type . Online Application Application for Doctor of Osteopathy by the State Board of Medical Examiners of New Jersey Online Application Application for Bioanalytical Lab Director Online Application Application for Resident Permit Online Application Application for an Extension for Not More than 60 Days Forms Medical Education Verification Form QDx Pathology Services is a fully accredited national, CLIA-certified laboratory We are licensed to perform laboratory testing for providers, medical centers, and hospitals throughout the nation, in all 50 U.S. states. Last Modified: 4/15/2015 6:26 AM. Trenton, NJ 08625-0361 APPLICATION FOR A CLINICAL LABORATORY LICENSE . https://www.americanmedtech.org/cv/cgi-bin/utilities.dll/openpage?wrp=employerSearch.htm. endstream endobj 21 0 obj <>stream ( $ ! $$ !Z3 $$ T H 4 0 ) $ ! Real-Time Lists of Certified Laboratories Welcome to New Jersey's DCA MyLicense Site 1975, commonly known as the New Jersey Clinical Laboratory Improvement Act, shall be made on forms provided for that purpose by the New Jersey State Department of Health. j In the event ofadiscrepancy, visit theCMS CLIA Laboratory Demographics Lookup and click on CLIA Laboratory Lookup under Tools to verifylaboratoryinformation. You do not need to spell the names or city in full but you must use at least 2 characters for any search option used. f L Your cooperation is requested in adhering to the November 1, 2021 due date in order to permit CLiS Licensing staff adequate time for review and approval. View Resources Switch to. 609-913-5105 Clinical Laboratory Licensing Program Contact Us Email: Joan.Mikita@doh.nj.gov Phone: 609-406-6830 Fax: 609-406-6863 Mailing/Shipping Addresses: By USPS, mail/ship to- Public Health & Environmental Laboratories NJ Department of Health ATTN: Joan Mikita Clinical Laboratory Licensing Program PO Box 361 Trenton, NJ 08625-0361 A r e q u a r t e r s s h a r e d w i t h a n y o t h e r e n t e r p r i s e ? These cookies may also be used for advertising purposes by these third parties. Certifications are added and deleted for laboratories for various reasons every day. 2022, c.44, clinical laboratories licensed to arbeiten in New Sport must meet to recently enacted requirements. 3 $$ T H 4 0 ) $ ! Public Health and Environmental Laboratories - State 5CJ OJ QJ U j 5CJ OJ QJ U OJ QJ 5CJ OJ QJ CJ OJ QJ j 5CJ OJ QJ UmH j 5CJ OJ QJ U j4 5CJ OJ QJ U*8 : X B I $$ T H 4 \ p%)` $ $ ! Is there a sign on the exterior of the building and is the laboratorys collection station listed on the building directory? ( 2 6 8 : X r | # $ D E i j startxref P Department of Health | Open Public Records Act | Online Requests $ !z B ? cl-18, laboratory, application for clinical laboratory license, clinical laboratory license application, collection station Last modified by: ewhite Created Date: 6/26/2008 6:46:00 PM DO NOT put a space between the comma and the first name as this will produce . About us. Lt. The Department oversees health care facilities, public health services, the state's psychiatric hospitals, the medicinal marijuana program, EMS and the Office . If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. 0000000816 00000 n Being able to verify your certification demonstrates to your team members and colleagues that you have kept your knowledge and skills up to date." (b) Each license to operate a clinical laboratory will . I $$ T H 4 \ p%) $ $ ! "New medical discoveries and the rapid development of new laboratory technologies requires laboratory professionals to maintain and enhance their skills. Personnel Licensure - ASCLS We take your privacy seriously. N 0000008820 00000 n * . x $ ! 0000009424 00000 n h$ !z ( $$ T H 4 ) z$ !z ( $$ T H 4 ) / ; J K V W X Y Z g n y z { 45:9-42.45 to -42.49, P.L. General Public Access. The OQA certifies laboratories in 36 states, Canada and overseas, and offers certification in: 8:45-1.3(b), laboratories that have not submitted their 2022 License Renewal Application(s) (CL-3 and/or CL-18 . ALiS - Online Licensing System If you are using the proper name of an individual ('John Public', for example), enter the last name first, followed by a comma, then the first name (as in 'Public,John'). the Centers for Medicare & Medicaid Services (, for CLIA certificate information. c l,2g#*|5Af(>[s Business.NJ.gov: Your first stop for doing business in NJ All New Jersey Clinical Laboratory Owners or Directors: Under aforementioned New Jersey Clinical Laboratory Improvement Act (the Act), N.J.S.A. suggestions, You are now signed up for the AMT Educator If you do not have either a Social Security number or an Individual Taxpayer Identification number, you must compete a certification form. $ $ ! Now click on the applications tab. Verify and/or Update a Certified Homemaker-Home Health Aides Employment 6. / ; V $$ ! 0000002474 00000 n for the next edition. : If you are searching for a business licensee (i.e., accountancy firms; architects and engineers certificates of authorization; barber shops; cemeteries; cosmetology and hairstyling shops; electrical contractor businesses; funeral homes; home improvement contractors; manicuring shops; pharmacies; public movers and warehousemen and skin care Thank you for taking the time to confirm your preferences. document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); copyright 2023 Lighthouse Lab Services All Rights Reserved. Inspections are conducted by clinical laboratory evaluators to ensure that the operations of the laboratories and collection stations comply with the respective New Jersey Administrative Code; and. For on-line Health Facility Verifications go to the Personnel/Health Facility/Laboratory License Verification link found in the bottom left column. 0000004007 00000 n Lab Regulations by State State-by-State Laboratory Licensing Information Our state licensing map resource was built to help our clinical laboratory clients and medical laboratory scientists find all of the information they need to attain the necessary state personnel and facility licensing. H Pages - License Verification - New Jersey Division of Consumer Affairs 6 26 trailer F O R M C H E C K B O X Y e s F O R M C H E C K B O X N o I f y e s , s p e c i f y : F O R M T E X T 3 . N.J. Admin. Code 8:45-1.1 - Casetext Welcome to Business.NJ.gov, your one-stop for learning about State, and sometimes federal and local, opportunities and regulations in New Jersey. The datain this CDC toolareupdated regularly butthere may be delays beforelaboratoriesrecently certified by CMSappear in the database. Please verify the accreditation status of a laboratory by reviewing the laboratory's certificate and Annual Certified Parameter List issued by the DEP listed on our Data Miner website or contact one of the OQA staff to verify the status of a laboratory. Home Department Of Health - Government of New Jersey Verification. Certifications | QDx Pathology Services Certification is provided through a formal process of application, audit and approval of a laboratories quality system. $ !z ( $$ T H 4 ) * , . Instagram 0000001580 00000 n QDx Pathology Services is a fully accredited national, CLIA-certified laboratory We are licensed to perform laboratory testing for physicians, medical centers and hospitals throughout the nation, in all 50 U.S. states. You can review and change the way we collect information below. 0000008652 00000 n YouTube, Waste & Underground Storage Tanks Enforcement, Contaminated Site Remediation & Redevelopment, Community Investment & Economic Revitalization, Transactions & Public Land Administration, Environmental Laboratory Advisory Committee (ELAC), The National Environmental Laboratory Accreditation Program, N.J.A.C. YouTube, Waste & Underground Storage Tanks Enforcement, Contaminated Site Remediation & Redevelopment, Community Investment & Economic Revitalization, Transactions & Public Land Administration, Environmental Laboratory Advisory Committee (ELAC), Laboratories Certified by Analytical Method, Low Level (LL) TO-15 Certified Laboratories, Perfluorooctanoic Acid (PFOA) Certified Laboratories. L o c a t i o n o f C ollection Station FORMCHECKBOX Store FORMCHECKBOX Residence FORMCHECKBOX Mobile FORMCHECKBOX Physician Office FORMCHECKBOX Professional Building FORMCHECKBOX Other, specify: FORMTEXT 2 . In addition, we are accredited in the following states that require state CLIA certification. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. and to permit CLiS Licensing staff adequate time for review and approval. Twitter 0000006761 00000 n Fee: New Licenses ($25 application + a new license fee) - Laboratory Directors $50; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $40. P Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Lt. 31 0 obj <>stream Public Health and Environmental Laboratories - Government of New Jersey CDC twenty four seven. Pages - Licensing Services - New Jersey Division of Consumer Affairs Please verify the accreditation status of a laboratory by reviewing the laboratorys certificate and Annual Certified Parameter List issued by the DEP listed on our Data Miner website or contact one of the OQA staff to verify the status of a laboratory. Select a profession and/or licensee type . v x |n j CJ OJ QJ Uj 5CJ OJ QJ UmH jZ 5CJ OJ QJ U 5CJ OJ QJ j 5CJ OJ QJ U j CJ OJ QJ UOJ QJ jn CJ OJ QJ Uj CJ OJ QJ UCJ OJ QJ j CJ OJ QJ Uj CJ OJ QJ U % . License Verification. -Read Full Disclaimer. If you are uncertain of the spelling or if abbreviation is possible, try a partial word. P You can opt out of receiving the Employer News newjersey.mylicense.com Select a license type (optional) and/or a status (optional). N N ` b b N N N N ` @ N N ` R `db b " X New Jersey Department of Health Clinical Laboratory Improvement Services PO Box 361 Trenton, NJ 08625-0361APPLICATION FOR A CLINICAL LABORATORY LICENSE (COLLECTION STATION ONLY-$200) Type of Application FORMCHECKBOX Initial FORMCHECKBOX RenewalFOR STATE USE ONLY:Date ReceivedReceived By FORMCHECKBOX ApprovedCheck NumberAmountCheck Date Name of Collection Station FORMTEXT N a m e o f P a r e n t L a b F O R M T E X T S t r e e t A d d r e s s F O R M T E X T S t r e e t A d d r e s s F O R M T E X T C i t y , S t a t e , Z i p C o d e F O R M T E X T C i t y , S t a t e , Z i p C o d e F O R M T E X T C L I S I D N u m b e r F O R M T E X T N o r m a l H o u r s o f O p e r a t i o n o f C o l l e c t i o n S t a t i o n [ I n d i c a t e s p e c i f i c h o u r s E A C H d a y ] : N a m e o f C o n t a c t P e r s o n F O R M T E X T M o n d a y F O R M T E X T T u e s d a y F O R M T E X T T e l e p h o n e N u m b e r ( F O R M T E X T ) F O R M T E X T W e d n e s d a y F O R M T E X T T h u r s d a y F O R M T E X T F a x N u m b e r ( F O R M T E X T ) F O R M T E X T F r i d a y F O R M T E X T S a t u r d a y F O R M T E X T E - M a i l A d d r e s s F O R M T E X T S u n d a y F O R M T E X T P H Y S I C A L P L A N T 1 . Twitter Governor Sheila Oliver, Improving Health Through Leadership and Innovation, If you or your organization are involved in human milk banking and wish to respond to the Departments survey, please do so via this link by May 26, 2023, Enterics and Special Bacteriology Laboratories, Chemical Terrorism, Biomonitoring, Medicinal Marijuana and Food Testing Laboratory, http://healthsurveys.nj.gov/NoviSurvey/n/zz3k4.aspx. 0 2 | q | q t <]/Prev 700435>> i j k | } $ ! $ ! QDx is committed to providing the highest level of quality and service to its provider customers and their patients. Contact CMS directly at CMS Lab Excellence for questions about a CLIA certificate. CAP is recognized as the global leader in improving the quality of pathology and laboratory services using established performance standards. -Read Full Disclaimer. & Explore a rich library of content on registering, hiring, funding, and more. Email or call the Washington State Agency at 253-395-6746 for guidance. F O R M C H E C K B O X Y e s F O R M C H E C K B O X No4. You do not need to spell the names or city in full but you must use at least 2 characters for any search option used. Our state licensing map resource was built to help our clinical laboratory clients and medical laboratory scientists find all of the information they need to attain the necessary state personnel and facility licensing. Click on the facility you would like to submit the renewal application for. Investigates errors and complaints which jeopardize the health and safety of patients. N Google Translate is an online service for which the user pays nothing to obtain a purported language translation. *[5z (vX+ti pQLI`iJ O;?}@w}]{bIS`/P1C2I9,f6AG7/V2v,3-$FzAEjfxq5NMsuDV[+(:r~MAG2_)Fd'`+>I_.:rPPyE]joahd]3M0?m7+e[cnU5cbt4B1uCZ5MTnvG]S>T?TXS IZ @@@ I T k ! @ ^ _ d e f g u v 6 ; O T U h m n If you are searching for a business licensee (i.e., accountancy firms; architects and engineers certificates of authorization; barber shops; cemeteries; cosmetology and hairstyling shops; electrical contractor businesses; funeral homes; home improvement contractors; manicuring shops; pharmacies; public movers and warehousemen and skin care < How to Apply for a CLIA Certificate, Including International Laboratories Facility Registration Requirements. Brief. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. X$#"@[`ePu`g`K`|ir &Ey9L~f News document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); Frequently Asked Lab Personnel Questionskeyboard_arrow_right. 0000007370 00000 n PDF 9otVn - The Official Web Site for The State of New Jersey 0000003451 00000 n The Department also issues written verification of licensure confirming an individual is licensed in NYS and their registration status. CJ OJ QJ U )f g u v 6 . xref Welcome to the New Jersey Division of Consumer Affairs License Verification System. When usingthe search function, enter laboratory namesexactly as they appear on the CLIA certificate. 3 $$ T H 4 0 ) ( P R T v 0000003285 00000 n CL-18, Application for Clinical Lab License, Collection Station Only CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. American Medical Technologists (AMT) > Verify 0 2 > l n pj" 5CJ OJ QJ U j 5CJ OJ QJ U j6 5CJ OJ QJ U j 5CJ OJ QJ U jJ 5CJ OJ QJ U CJ OJ QJ OJ QJ 5CJ OJ QJ j 5CJ OJ QJ UmH j 5CJ OJ QJ U j 5CJ OJ QJ U, n v ( * > @ B L N P R T v z | x jp 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ UmH j 5CJ OJ QJ U 5CJ OJ QJ OJ QJ >*CJ OJ QJ CJ OJ QJ j 5CJ OJ QJ U/ ( Z| S $ $I $$ T H 4 \ p%)` $ $ ! Via the Internet. Email or call the New York State Department of Health at (518) 485-5378 for guidance. State-by-State Laboratory Licensing Information - Map Centers for Disease Control and Prevention. A $$ T H 44 L H(") $ ! NJDEP| Division of Science and Research | Certified Laboratories The CAP proficiency programs supplement QDx internal quality management system, ensuring that the testing and professional consultative services we provide you are accurate, precise and reliable. & 0 1 ? Pages - License Verification - New Jersey Division of Consumer Affairs FORMCHECKBOX Yes FORMCHECKBOX NoCERTIFICATIONWe the undersigned certify that all the information given on this application and on the accompanying attachments is true, correct and complete as of this date and that notification, by certified mail, of any change(s) will be made within 14 days of such change(s). New Jersey Department of Health 369 South Warren Street, 6th Floor Trenton, NJ 08608-2308 Top ^ Division of HIV, STD (Sexually Transmitted Diseases) and TB (Tuberculosis) Services Click here to submit an online OPRA request related to the following areas: Office of Assistant Commissioner Administration and Finance Grants Monitoring Unit L In accordance with N.JAC. Develops New Jersey Administrative Codes for licensing and operation of clinical laboratories and collection stations which reflect current, best practices and which meet or exceed applicable federal regulations; Inspects licensed laboratories and collection stations to ensure accuracy and reliability of patient test results. %%EOF Verify Credentials - ASCP Call us at 775-684-1030. 0 2 @ A _ ` e f A B ( $ ! 2021, c. 454 as amended by P.L. Verification - Welcome to New Jersey's DCA MyLicense Site 0000010141 00000 n *_@g8b((H]`0F&y`f# k(I6mq %PDF-1.4 % Navigate to the left side of your screen to see the list of facilities that have been assigned to you. 6 0 obj <> endobj New Jersey Lab Licensing Information - CLIA Requirements Try these ! In addition, we are accredited in the following states that require state CLIA certification.

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