0000008108 00000 n $ ! trailer You will no longer receive a paper license in the mail. To improve search accuracy. Email or call the Washington State Agency at 253-395-6746 for guidance. @ ^ _ d e f g u v 6 ; O T U h m n About us. 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. *_@g8b((H]`0F&y`f# k(I6mq Verify a Current License 4. If you are uncertain of the spelling or if abbreviation is possible, try a partial word. Do you have a lease/rental agreement FORMCHECKBOX Yes FORMCHECKBOX No If yes, please enclose a copy of the lease/rental agreement, and a scale floor plan of the Collection Station that illustrates the relationship between the Collection Station and any other health services purveyor(s).5. %%EOF document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); copyright 2023 Lighthouse Lab Services All Rights Reserved. If you do not have either a Social Security number or an Individual Taxpayer Identification number, you must compete a certification form. 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. Brief at 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. They help us to know which pages are the most and least popular and see how visitors move around the site. Welcome to Business.NJ.gov, your one-stop for learning about State, and sometimes federal and local, opportunities and regulations in New Jersey. 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. Check Status of an Application 5. Select a license type (optional) and/or a status (optional). 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. 45:9-42.45 to -42.49, P.L. License Verification. > ; J K L V W y z { 0000007370 00000 n $ ! Your email has been added to the limited 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 ! 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 . $  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 %PDF-1.4 % 0 > N 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. Switch to Business Search . Click on the facility you would like to submit the renewal application for. 31 0 obj <>stream Rosemont, IL 60018, 2022 by American Medical Technologists (AMT), You are now signed up for the AMT Employer News Twitter 0000001349 00000 n 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 % . 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 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. / ; J K V W X Y Z g n y z { 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. Switch to Business Search . If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The current list of DSAMs are contained in PART III of the Departments application for certification. <]/Prev 700435>> Temporary Emergency License for Out-of-State Practitioners 7. A Washington state applicant. Lt. NJ Government Agency Access (within the state firewall): Via the Department of Law and Public Safety's Intranet. f 0000004165 00000 n Last Modified: 4/15/2015 6:26 AM. The rules for administering the New Jerseyprogram are detailed in. & 0 1 ? CAP is recognized as the global leader in improving the quality of pathology and laboratory services using established performance standards. 0000008820 00000 n Otherwise, select Person Search. P 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. / ; V $$ ! $ ! distribution list $ ! Select a profession and/or licensee type . New Jersey State Laboratory License (CL-3) New Jersey State Ownership Form (CL-9) New Jersey State Personnel Qualification form (CL-34) X$#"@[`ePu`g`K`|ir &Ey9L~f P The new enactments require: 1) clinical laboratories to record and report certain patient demographic information, namely race, ethnicity, sexual orientation and gender identity; 2) clinical laboratory electronic medical records systems and manual requisition forms to include demographic data entry features; and 3) clinical laboratories to Welcome to the New Jersey Division of Consumer Affairs License Verification System. $ !z B ? c l,2g#*|5Af(>[s 5CJ OJ QJ U j 5CJ OJ QJ U OJ QJ 5CJ OJ QJ CJ OJ QJ j 5CJ OJ QJ UmH j 5CJ OJ QJ U j4 5CJ OJ QJ U*8 : X B I $$ T H 4 \ p%)` $ $ ! You will be subject to the destination website's privacy policy when you follow the link. When usingthe search function, enter laboratory namesexactly as they appear on the CLIA certificate. Select a profession and/or licensee type . 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. L 2021, c. 454 as amended by P.L. 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 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 $ ! NJ Government Agency Access (within the state firewall) Via the Department of Law and Public Safety's Intranet. Brief. Your email has been added to the limited 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. 2022, c.44, clinical laboratories licensed to arbeiten in New Sport must meet to recently enacted requirements. _ If you are uncertain of the spelling or if abbreviation is possible, try a . 4 6 J }n j 5CJ OJ QJ UmH j^ 5CJ OJ QJ U 5CJ OJ QJ j 5CJ OJ QJ U j CJ OJ QJ U5CJ OJ QJ jt CJ OJ QJ Uj CJ OJ QJ UCJ OJ QJ j CJ OJ QJ UCJ OJ QJ CJ OJ QJ OJ QJ 5OJ QJ ) I T k ! Clinical Laboratory Improvement Services. *[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 Increase your testing confidence Utilize AMT study resources. 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. Real-Time Lists of Certified Laboratories Via the Internet. Twitter Try these endstream endobj 20 0 obj <>stream H hb``g``nd`` -Read Full Disclaimer. $ ! $ The OQA currently certifies the analytical capabilities of approximately 800 laboratories. Facility Registration Requirements. 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 HT G1,LTZEUMca+-jU|m?O/wx-TN;hE(D &M18+BDL'$Boj0z,ge31qgZCboX#tT+4C2rcH)1 &rgEg[h S7Y Brief. i j k | } 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.
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