P You can review and change the way we collect information below. Increase your testing confidence Utilize AMT study resources. The data, Clinical Laboratory Improvement Amendments (CLIA), U.S. Department of Health & Human Services, For windows: Hold down the control (ctrl) button to select multiple options, For Mac: Hold down the command button to select multiple options. 0000006761 00000 n View Resources $ ! ( 2 6 8 : X r | # $ D E i j 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. $ !z > $$ T H 4 F x) $$ ! They help us to know which pages are the most and least popular and see how visitors move around the site. 8:45-1.3(b), laboratories that have not submitted their 2021 License Renewal Application(s) (CL-3 and/or CL-18) with the applicable fees by December 31, 2020 may be subject to late fees. Switch to Business Search . The OQA certifies laboratories in 36 states, Canada and overseas, and offers certification in: Methods offered for certification are called Department Sanctioned Analytical Methods (DSAMs) and include testing for microbiology, toxicity, physical characteristics, nutrients, inorganics, metals, volatile organics, semi-volatile organics, polynuclear aromatic hydrocarbons, polychlorinated biphenyls, dioxins, and radiochemistry. f License Verification. 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. If you continue to use this site we will assume that you are happy with it. This tool allows users to search demographic information about CLIA-certified laboratories using CLIA numbers, facility names, addresses, geographic locations, or types of CLIA certificates. 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. 0 2 1 2 @ A B P Q _ ` a e f A B { | |n j CJ OJ QJ Uj CJ OJ QJ Uj CJ OJ QJ Uj2 CJ OJ QJ Uj 5CJ OJ QJ UmH j 5CJ OJ QJ U 5CJ OJ QJ j 5CJ OJ QJ U OJ QJ CJ OJ QJ j CJ OJ QJ UjF CJ OJ QJ U + e f A B d e f p ~ $ ! / ; V $$ ! Full Service FDA & DEA Inspected, ISO/IEC 17025:2017 PJLA Accreditation #97233 Testing, CGMP Analytical Chemistry & Microbiology Laboratory The current list of DSAMs are contained in PART III of the Departments application for certification. 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 Fee: New Licenses ($25 application + a new license fee) - Laboratory Directors $50; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $40. The OQA certifies laboratories in 36 states, Canada and overseas, and offers certification in: E|z(Xt2(]O]+wW3`H(sd5d\Pf4UP~=;n=d(+(l~C%RH?Ob@}x"ALk=H@nhD$R/2"`GX]Ecw}Z r,{{PGYgVlK:/1(qZd@kJ `H H1s,ZB_ qi4%)<=mDbB?Ymv/vzUs`*RE`N/QG--f>'xWMTYJ/nRBl &FJ|Omt3,^(-bw5TX Most of these are small to medium sized laboratories; and are laboratory facilities servicing a specific facility (water purveyor, industry, municipal authority). %PDF-1.4 % If you are uncertain of the spelling or if abbreviation is possible, try a partial word. startxref 0000003451 00000 n f for the next edition. New Jersey CLIA Laboratory Application. 0000001413 00000 n Now click on the applications tab. : * . Lt. < QT G ( $ ! (b) Each license to operate a clinical laboratory will . Complete the Application for Certification Form (CMS-116), unless you're: A New York state non-physician office laboratory applicant. News f $ ! 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 . 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 I $$ T H 4 \ p%) $ $ ! Google Translate is an online service for which the user pays nothing to obtain a purported language translation. > O Q N q bjbjt+t+ 0N A A - J ] N N N N N N N b b b b 8 D t b n t S L ( ` b b b b b b $ Q N N N n . endstream endobj 20 0 obj <>stream California Clinical Lab License. Want to learn more? American Medical Technologists (AMT) > Verify Verify Certification Status Check to see if an individual is currently certified through AMT. z Twitter Clinical Laboratory Improvement Services. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); We use cookies to ensure that we give you the best experience on our website. This tool allows users to searchdemographicinformation about CLIA-certified laboratories using CLIA numbers, facility names, addresses, geographic locations, or typesof CLIA certificates. any time. -Read Full Disclaimer. For on-line Health Facility Verifications go to the Personnel/Health Facility/Laboratory License Verification link found in the bottom left column. @ ^ _ d e f g u v 6 ; O T U h m n You will no longer receive a paper license in the mail. hb``g``nd`` H If you are uncertain of the spelling or if abbreviation is possible, try a . The information in this database isprovided bythe Centers for Medicare & Medicaid Services (CMS), which is theagency withauthorityfor CLIA certificate information. any time. The State of NJ site may contain optional links, information, services and/or content from other websites operated by third parties that are provided as a convenience, such as Google Translate. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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 % . 0000006138 00000 n Welcome to Business.NJ.gov, your one-stop for learning about State, and sometimes federal and local, opportunities and regulations in New Jersey. Trenton, NJ 08625-0361 APPLICATION FOR A CLINICAL LABORATORY LICENSE . 0000005536 00000 n $ ! Certification requests can only be submitted by the licensee and can only be sent to the licensee or the licensing authority of another state or jurisdiction. Profession: > Explore a rich library of content on registering, hiring, funding, and more. 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. -Read Full Disclaimer. . If you are uncertain of the spelling or if abbreviation is possible, try a . In accordance with N.JAC. Reviews records of and/or assesses patient testing, equipment maintenance, quality control, staffing levels, medical records, observes testing procedures as well as patient care and interviews staff. Temporary Emergency License for Out-of-State Practitioners 7. 0000007932 00000 n J 3 $$ T H h4 0 ) $ $$ $ @@@ I T k ! $ 0000001580 00000 n License Verification Online Access: General Public: Via the Internet NJ Government Agency Access (within the state firewall): Via the Department of Law and Public Safety's Intranet Written Verifications If you need written verification of a licensee's status, either write or fax the Board at: State Board of Medical Examiners Your email has been added to the limited Click on the facility you would like to submit the renewal application for. ! 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. 0000002156 00000 n Select a profession and/or licensee type . If you do not have either a Social Security number or an Individual Taxpayer Identification number, you must compete a certification form. 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 $$ T H 4 \ p%)` $ $ ! 1975, commonly known as the New Jersey Clinical Laboratory Improvement Act, shall be made on forms provided for that purpose by the New Jersey State Department of Health. Investigates errors and complaints which jeopardize the health and safety of patients. Email or call the Washington State Agency at 253-395-6746 for guidance. 0000002474 00000 n Verify Credentials. 0000003134 00000 n In accordance with N.J.A.C. A r e q u a r t e r s s h a r e d w i t h a n y o t h e r e n t e r p r i s e ? 0000008108 00000 n J L N X Z \ ^ | ~ . In addition, we are accredited in the following states that require state CLIA certification. the Centers for Medicare & Medicaid Services (, for CLIA certificate information. Certification of laboratories is an ongoing process. $ ! YouTube, Waste & Underground Storage Tanks Enforcement, Contaminated Site Remediation & Redevelopment, Community Investment & Economic Revitalization, Transactions & Public Land Administration, Environmental Laboratory Advisory Committee (ELAC), The National Environmental Laboratory Accreditation Program, N.J.A.C. $ ! New Jersey State Laboratory License (CL-3) New Jersey State Ownership Form (CL-9) New Jersey State Personnel Qualification form (CL-34) You do not need to spell the names or city in full but you must use at least 2 characters for any search option used. HT G1,LTZEUMca+-jU|m?O/wx-TN;hE(D &M18+BDL'$Boj0z,ge31qgZCboX#tT+4C2rcH)1 &rgEg[h S7Y Instagram c l,2g#*|5Af(>[s In addition, we are accredited in the following states that require state CLIA certification. Your email has been added to the limited "New medical discoveries and the rapid development of new laboratory technologies requires laboratory professionals to maintain and enhance their skills. ( $ ! The New Jersey Department of Health is a nationally accredited state public health agency focused on improving population health by strengthening New Jersey's health system. About us. 3 $$ T H 4 0 ) $ ! 37 the clinical laboratory license under the "New Jersey Clinical 38 Laboratory Improvement Act," P.L.1975, c.166 (C.45:9-42.26 et 39 seq.). 4 N X \ ^ | 2 @ l ( B L P R T v 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. h$ !z ( $$ T H 4 ) z$ !z ( $$ T H 4 ) $ 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 L $ ! We take your privacy seriously. If you are uncertain of the spelling or if abbreviation is possible, try a . Facebook x $ ! QDx is CAP accredited and subscribes to CAPs proficiency testing program that includes verification of testing performance and professional proficiency against pre-analyzed samples. 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 QDx is committed to providing the highest level of quality and service to its provider customers and their patients. $ ! You will be subject to the destination website's privacy policy when you follow the link. 45:9-42.45 to -42.49, P.L. 0000001349 00000 n These cookies may also be used for advertising purposes by these third parties. The datain this CDC toolareupdated regularly butthere may be delays beforelaboratoriesrecently certified by CMSappear in the database. 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'). 0000003285 00000 n D o e s c o l l e c t i o n s t a t i o n h a v e p r i v a t e e n t r a n c e a n d e x i t ? 0000010141 00000 n $$ !Z3 $$ T H 4 0 ) $ ! document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); Frequently Asked Lab Personnel Questionskeyboard_arrow_right. N Otherwise, select Person Search. 7:18 (as amended September 4, 2018) Regulations Governing the Certification of Laboratories and Environmental Measurements, Notice Regarding NELAP Accredited Laboratory Use of its Certificate, Important Notice Regarding Application Process Policy, Information Required When Requesting Certification, Instructions for Submitting an Initial Application, Instructions for Submitting a Modification Application, Instructions for Submitting a FY2024 Renewal Application Package, NELAP Secondary Laboratories Coding/Cross-Referencing Instructions, The OQA offers New Jersey certification through its own state program, referred to as the Environmental Laboratory Certification Program (ELCP). Rosemont, IL 60018, 2022 by American Medical Technologists (AMT), You are now signed up for the AMT Employer News 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. New Jersey Department of Health. NOTE: Some licenses are issued in the name of the business, not an individual. l Start 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. NOTE: If you are unable to see the facility you are assigned to, please call us at (609) 292-6552 or email us at HFSPortal@doh.nj.gov. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. JFF)Sg`N86[#1 # Certification must be renewed annually. 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 .
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