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). For on-line Health Facility Verifications go to the Personnel/Health Facility/Laboratory License Verification link found in the bottom left column. Verify a Current License 4. Public Health and Environmental Laboratories - Government of New Jersey 0 2 | q | q t 0000001092 00000 n Verification. 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. Verification - Welcome to New Jersey's DCA MyLicense Site for the next edition. 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. 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 The OQA currently certifies the analytical capabilities of approximately 800 laboratories. 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 If you are uncertain of the spelling or if abbreviation is possible, try a . 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. This tool allows users to searchdemographicinformation about CLIA-certified laboratories using CLIA numbers, facility names, addresses, geographic locations, or typesof CLIA certificates. Careers - NJ Labs | Analytical Chemistry & Microbiology Laboratory 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. They help us to know which pages are the most and least popular and see how visitors move around the site. The rules for administering the New Jerseyprogram are detailed in. Renewal Fee: Laboratory Directors $40; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $30. PDF State of New Jersey Call us at 775-684-1030. exactly as they appear on the CLIA certificate. NOTE: Some licenses are issued in the name of the business, not an individual. Last Modified: 4/15/2015 6:26 AM. L Lt. In addition, we are accredited in the following states that require state CLIA certification. $ ! We take your privacy seriously. 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 0000003134 00000 n f NJ Government Agency Access (within the state firewall) Via the Department of Law and Public Safety's Intranet. $ $ ! $ !z B ? Brief. Certification is provided through a formal process of application, audit and approval of a laboratories quality system. These cookies may also be used for advertising purposes by these third parties. Trenton, NJ 08625-0361 APPLICATION FOR A CLINICAL LABORATORY LICENSE . 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. When using the search function, enter laboratory names exactly as they appear on the CLIA certificate. P New Jersey CLIA Laboratory Application. 0000002474 00000 n $ ! L 0000003285 00000 n ( 2 6 8 : X r | # $ D E i j If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. How to Submit a License Renewal Application - Government of New Jersey Enter any combination of a first name, a last name, license number, and a city . 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. 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 . 31 0 obj <>stream Pages - License Verification - New Jersey Division of Consumer Affairs 0000005536 00000 n 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. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. The datain this CDC toolareupdated regularly butthere may be delays beforelaboratoriesrecently certified by CMSappear in the database. All New Jersey Clinical Laboratory Owners or Directors: Under aforementioned New Jersey Clinical Laboratory Improvement Act (the Act), N.J.S.A. The following reports can be found on the Certified Laboratories page of Data Miner: Note: The lists are created from real-time data so it may take up to a minute for the information to display. DO NOT put a space between the comma and the first name as this will produce . 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.). Instagram NJDEP| Division of Science and Research | Certified Laboratories Certifications | QDx Pathology Services z Pages - Licensing Services - New Jersey Division of Consumer Affairs > & 0 1 ? 8:45-1.3(b), laboratories that have not submitted their 2022 License Renewal Application(s) (CL-3 and/or CL-18 . any time. hb``g``nd`` xref 3. Real-Time Lists of Certified Laboratories & H Certification must be renewed annually. Centers for Disease Control and Prevention. Our board-certified staffed New Jersey lab serves the diagnostic needs of medical professionals and facilities throughout the United States. If you do not have either a Social Security number or an Individual Taxpayer Identification number, you must compete a certification form. A Washington state applicant. 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. 0000001011 00000 n 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 . distribution list Public Health and Environmental Laboratories - State 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. In the event ofadiscrepancy, visit theCMS CLIA Laboratory Demographics Lookup and click on CLIA Laboratory Lookup under Tools to verifylaboratoryinformation. Verify Credentials - ASCP for the next edition. L > Select a profession and/or licensee type . Governor Sheila Oliver, Improving Health Through Leadership and Innovation, Enterics and Special Bacteriology Laboratories, Chemical Terrorism, Biomonitoring, Medicinal Marijuana and Food Testing Laboratory, Chapter 44 - State Regulations [N.J.A.C. startxref QDx is committed to providing the highest level of quality and service to its provider customers and their patients. Email or call the Washington State Agency at 253-395-6746 for guidance. 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. Department of Health | Public Health and Environmental Laboratories CJ OJ QJ Uj CJ OJ QJ Uj Is there a sign on the exterior of the building and is the laboratorys collection station listed on the building directory? j Verification Search | Office of the Professions - New York State Brief at 0000001413 00000 n $ N.J. Admin. Code 8:45-1.1 - Casetext i j k | } American Medical Technologists (AMT) > Verify Verify Certification Status Check to see if an individual is currently certified through AMT. 6 0 obj <> endobj document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); copyright 2023 Lighthouse Lab Services All Rights Reserved. P 6 8 I $$ T H 4 \ p%)` $ $ !
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