Verification. 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 > 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. ( $ ! 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 12 plenary license as a bio-analytical laboratory director. NOTE: Some licenses are issued in the name of the business, not an individual. $ You can review and change the way we collect information below. 8:44-2.1 et seq. $ !z > $$ T H 4 F x) $$ ! 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 Rosemont, IL 60018, 2022 by American Medical Technologists (AMT), You are now signed up for the AMT Employer News Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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. If you continue to use this site we will assume that you are happy with it. 0000007370 00000 n CJ OJ QJ Uj CJ OJ QJ Uj 0000001349 00000 n l 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. i j k | } Most of these are small to medium sized laboratories; and are laboratory facilities servicing a specific facility (water purveyor, industry, municipal authority). suggestions, You are now signed up for the AMT Educator $ ! 0000003134 00000 n 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). Please Note: This website is intended to be used for VERIFICATION ONLY.If you need a bulk license data/verification for the state of New Jersey, PLEASE CLICK HERE TO DOWNLOAD THE ROSTER. *[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 P 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. endstream endobj 21 0 obj <>stream 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 ~ $ ! > 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 . 6 0 obj <> endobj : General Public Access: Via the Internet. trailer ( 2 6 8 : X r | # $ D E i j 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. NJ Government Agency Access (within the state firewall): Via the Department of Law and Public Safety's Intranet. and to permit CLiS Licensing staff adequate time for review and approval. 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. 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. In addition, we are accredited in the following states that require state CLIA certification. You can opt out of receiving the Employer News QDx is committed to providing the highest level of quality and service to its provider customers and their patients. We take your privacy seriously. $ 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 HT G1,LTZEUMca+-jU|m?O/wx-TN;hE(D &M18+BDL'$Boj0z,ge31qgZCboX#tT+4C2rcH)1 &rgEg[h S7Y 0000005536 00000 n The CAP programs are built on more than a half-century of experience, the CAPs Laboratory Accreditation Program has been the champion of laboratory excellence. 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 0000008820 00000 n H1s,&#ZB_ qi4%)<=mDbB?Ymv/vzUs`*RE`N/QG--f>'xWMTYJ/nRBl &FJ|Omt3,^(-bw5TX Lt. 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. Temporary Emergency License for Out-of-State Practitioners 7. Lt. $$ !Z3 $$ T H 4 0 ) $ ! startxref Is the Collection Station open to the general public? Google Translate is an online service for which the user pays nothing to obtain a purported language translation. 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. 0000000016 00000 n Complete the Application for Certification Form (CMS-116), unless you're: A New York state non-physician office laboratory applicant. QT G ( $ ! @@@ I T k ! The current list of DSAMs are contained in PART III of the Departments application for certification. All New Jersey Clinical Laboratory Owners or Directors: Under aforementioned New Jersey Clinical Laboratory Improvement Act (the Act), N.J.S.A. 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. Select a profession and/or licensee type . f P Trenton, NJ 08625-0361 APPLICATION FOR A CLINICAL LABORATORY LICENSE . (b) Each license to operate a clinical laboratory will . The information in this database isprovided bythe Centers for Medicare & Medicaid Services (CMS), which is theagency withauthorityfor CLIA certificate information. 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. 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%)` $ $ ! Select a license type (optional) and/or a status (optional). https://www.americanmedtech.org/cv/cgi-bin/utilities.dll/openpage?wrp=employerSearch.htm. 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. 0000002156 00000 n 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 ? 0000000816 00000 n Last Modified: 4/15/2015 6:26 AM. Increase your testing confidence Utilize AMT study resources. Click on the facility you would like to submit the renewal application for. 0 Being able to verify your certification demonstrates to your team members and colleagues that you have kept your knowledge and skills up to date." Renewal Fee: Laboratory Directors $40; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $30. 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 ! For any questions related to Kitchen/Pool/Spa permits in Health Facilities please email us at: EHSHCQC@health.nv.gov OR. 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. 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. X$#"@[`ePu`g`K`|ir &Ey9L~f 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 ], National Institute of Diabetes and Digestive and Kidney Diseases, Information For Laboratory Personnel | Monkeypox | Poxvirus | CDC, Advanced Catalog Search (beiresources.org). 3 $$ T H h4 0 ) $ $$ General Public Access. The Department oversees health care facilities, public health services, the state's psychiatric hospitals, the medicinal marijuana program, EMS and the Office . Certification is provided through a formal process of application, audit and approval of a laboratories quality system. <]/Prev 700435>> Switch to Business Search . PO Box 361. DO NOT put a space between the comma and the first name as this will produce . xref 10700 West Higgins Rd, Suite 150 3. Twitter A $$ T H 44 L H(") $ ! Facebook The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You will be subject to the destination website's privacy policy when you follow the link. -Read Full Disclaimer. 0000002317 00000 n 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. Your email has been added to the limited 0000008108 00000 n Then click the Search button. $ ! Google Translate is an online service for which the user pays nothing to obtain a purported language translation. H New Jersey Department of Health. 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. If you are uncertain of the spelling or if abbreviation is possible, try a . 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. HlTMS0g&31dbk\0%Lh% tq}IgtBN'g1t"^q;\YY !U&gLD8W$Fq#aQ{eIBq/bh!#}mCU? 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. FORMCHECKBOX Yes FORMCHECKBOX No6. 0000001413 00000 n $ Brief at Clinical Laboratory Improvement Services. In addition, we are accredited in the following states that require state CLIA certification. 40 c. The board shall grant a specialty license in one or more of 41 the fields of toxicological chemistry, microbiology, cytogenetics, . "New medical discoveries and the rapid development of new laboratory technologies requires laboratory professionals to maintain and enhance their skills. 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. License Verification. : 0000003451 00000 n $ $I $$ T H 4 \ p%)` f Full Service FDA & DEA Inspected, ISO/IEC 17025:2017 PJLA Accreditation #97233 Testing, CGMP Analytical Chemistry & Microbiology Laboratory ( $ ! Select a profession and/or licensee type . $ 0000002474 00000 n 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 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. Try these $ ! Switch to Business Search . CJ OJ QJ U )f g u v 6 . 2021, c. 454 as amended by P.L. for the next edition. 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. 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 ? 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. 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. Verify Credentials. Section 8:45-1.1 - Initial licensure (a) Application for an initial license to conduct a clinical laboratory, as required under the provisions of Chapter 166, P.L. 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. H 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. New Jersey CLIA Laboratory Application. Last Modified: 10/27/2016 10:41 AM. 8:45-1.3(b), laboratories that have not submitted their 2022 License Renewal Application(s) (CL-3 and/or CL-18 . 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). 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 % . _ $$ T H 44 H(")` ` { 4 \ ^ | @ l T $ ! If you do not have either a Social Security number or an Individual Taxpayer Identification number, you must compete a certification form.
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