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CAP programs provide an engaging, dynamic, collaborative process that fosters an environment of continuous improvement. 0000010141 00000 n _ New Jersey Department of Health. L endstream endobj 21 0 obj <>stream Email or call the Washington State Agency at 253-395-6746 for guidance. New Jersey State Laboratory License (CL-3) New Jersey State Ownership Form (CL-9) New Jersey State Personnel Qualification form (CL-34) ; J K L V W y z { 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). 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 ~ $ ! 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 2021, c. 454 as amended by P.L. $ $ ! Twitter License Verification. 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. I $$ T H 4 \ p%) $ $ ! Lt. E|z(Xt2(]O]+wW3`H(sd5d\Pf4UP~=;n=d(+(l~C%RH?Ob@}x"ALk=H@nhD$R/2"`GX]Ecw}Z r,{{PGYgVlK:/1(qZd@kJ `H Brief. 0000002317 00000 n 0 2 > l n pj" 5CJ OJ QJ U j 5CJ OJ QJ U j6 5CJ OJ QJ U j 5CJ OJ QJ U jJ 5CJ OJ QJ U CJ OJ QJ OJ QJ 5CJ OJ QJ j 5CJ OJ QJ UmH j 5CJ OJ QJ U j 5CJ OJ QJ U, n v ( * > @ B L N P R T v z | x jp 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ U j 5CJ OJ QJ UmH j 5CJ OJ QJ U 5CJ OJ QJ OJ QJ >*CJ OJ QJ CJ OJ QJ j 5CJ OJ QJ U/ ( Z| S $ $I $$ T H 4 \ p%)` $ $ ! 0 If you are uncertain of the spelling or if abbreviation is possible, try a partial word. H 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. Enter any combination of a first name, a last name, license number, and a city . 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 . 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'). f All New Jersey Clinical Laboratory Owners or Directors: Under aforementioned New Jersey Clinical Laboratory Improvement Act (the Act), N.J.S.A. 0000009424 00000 n Fee: New Licenses ($25 application + a new license fee) - Laboratory Directors $50; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $40. NOTE: If you are unable to see the facility you are assigned to, please call us at (609) 292-6552 or email us at HFSPortal@doh.nj.gov. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. The Office of Quality Assurance (OQA) offers certification for environmental testing laboratories to ensure that regulatory decisions made by federal, state, and municipal government agencies are based upon accurate and dependable analytical data. HT G1,LTZEUMca+-jU|m?O/wx-TN;hE(D &M18+BDL'$Boj0z,ge31qgZCboX#tT+4C2rcH)1 &rgEg[h S7Y Facebook Certification must be renewed annually. -Read Full Disclaimer. %%EOF Instagram Real-Time Lists of Certified Laboratories Increase your testing confidence Utilize AMT study resources. $ !z B ? Check Status of an Application 5. *_@g8b((H]`0F&y`f# k(I6mq CDC twenty four seven. Trenton, NJ 08625-0361 APPLICATION FOR A CLINICAL LABORATORY LICENSE . J Thank you for taking the time to confirm your preferences. 0000002156 00000 n 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. L 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. ], National Institute of Diabetes and Digestive and Kidney Diseases, Information For Laboratory Personnel | Monkeypox | Poxvirus | CDC, Advanced Catalog Search (beiresources.org). These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. x $ ! JFF)Sg`N86[#1 # 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. CJ OJ QJ Uj CJ OJ QJ Uj Rosemont, IL 60018, 2022 by American Medical Technologists (AMT), You are now signed up for the AMT Employer News for the next edition. 0000006761 00000 n Saving Lives, Protecting People, information about CLIA-certified laboratories using CLIA number, the search function, enter laboratory names. P 2022, c.44, clinical laboratories licensed to arbeiten in New Sport must meet to recently enacted requirements. NJ Government Agency Access (within the state firewall) Via the Department of Law and Public Safety's Intranet. "New medical discoveries and the rapid development of new laboratory technologies requires laboratory professionals to maintain and enhance their skills. 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. NOTE: Some licenses are issued in the name of the business, not an individual. Explore a rich library of content on registering, hiring, funding, and more. *[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 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. About us. any time. 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 : Select a profession and/or licensee type . 8:44-2.1 et seq. Full Service FDA & DEA Inspected, ISO/IEC 17025:2017 PJLA Accreditation #97233 Testing, CGMP Analytical Chemistry & Microbiology Laboratory If you are uncertain of the spelling or if abbreviation is possible, try a . Centers for Disease Control and Prevention. CAP is recognized as the global leader in improving the quality of pathology and laboratory services using established performance standards. f > 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 . 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

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