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. Navigate to the left side of your screen to see the list of facilities that have been assigned to you. 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 QDx is committed to providing the highest level of quality and service to its provider customers and their patients. 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 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. 0000003134 00000 n You can review and change the way we collect information below. 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 speciality shops) select Business Search below. (b) Each license to operate a clinical laboratory will . Online Application Application for Doctor of Osteopathy by the State Board of Medical Examiners of New Jersey Online Application Application for Bioanalytical Lab Director Online Application Application for Resident Permit Online Application Application for an Extension for Not More than 60 Days Forms Medical Education Verification Form Verify Credentials - ASCP 31 0 obj <>stream CAP is recognized as the global leader in improving the quality of pathology and laboratory services using established performance standards. 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. Complete the Application for Certification Form (CMS-116), unless you're: A New York state non-physician office laboratory applicant. 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. $ !z ( $$ T H 4 ) * , . PDF Jitate of ~.em l.ers - Government of New Jersey 0000006138 00000 n $ 0 2 @ A _ ` e f A B 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. New Jersey CLIA Laboratory Application. QT G ( $ ! ( $ ! If you continue to use this site we will assume that you are happy with it. Via the Internet. $ New Jersey Lab Licensing Information - CLIA Requirements In addition, we are accredited in the following states that require state CLIA certification. 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. Verification - Welcome to New Jersey's DCA MyLicense Site CL-18, Application for Clinical Lab License, Collection Station Only 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. NOTE: Some licenses are issued in the name of the business, not an individual. Certification is provided through a formal process of application, audit and approval of a laboratories quality system. Personnel Licensure - ASCLS Our board-certified staffed New Jersey lab serves the diagnostic needs of medical professionals and facilities throughout the United States. Public Health and Environmental Laboratories - State Verification - Welcome to New Jersey's DCA MyLicense Site : 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 ! Switch to Business Search . $$ !Z3 $$ T H 4 0 ) $ ! Temporary Emergency License for Out-of-State Practitioners 7. $ ! Cookies used to make website functionality more relevant to you. N.J. Admin. Code 8:45-1.1 - Casetext If you are uncertain of the spelling or if abbreviation is possible, try a . Certifications are added and deleted for laboratories for various reasons every day. P / ; V $$ ! 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). We take your privacy seriously. 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 ! f If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. L Department of Health | Public Health and Environmental Laboratories $ ! J L N X Z \ ^ | ~ . 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. Pages - Licensing Services - New Jersey Division of Consumer Affairs 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. Select a profession and/or licensee type . document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); Frequently Asked Lab Personnel Questionskeyboard_arrow_right. https://www.americanmedtech.org/cv/cgi-bin/utilities.dll/openpage?wrp=employerSearch.htm. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. If you are uncertain of the spelling or if abbreviation is possible, try a . 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. Lt. suggestions, You are now signed up for the AMT Educator 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. Google Translate is an online service for which the user pays nothing to obtain a purported language translation. 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 For on-line Health Facility Verifications go to the Personnel/Health Facility/Laboratory License Verification link found in the bottom left column. startxref I $$ T H 4 \ p%) @ ] ( $$ T H 4 ) $ !z * $$ T H 4 ) Brief at 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. About us. 0000008652 00000 n FORMCHECKBOX Yes FORMCHECKBOX No6. HT G1,LTZEUMca+-jU|m?O/wx-TN;hE(D &M18+BDL'$Boj0z,ge31qgZCboX#tT+4C2rcH)1 &rgEg[h S7Y Most of these are small to medium sized laboratories; and are laboratory facilities servicing a specific facility (water purveyor, industry, municipal authority). License Verification. Renewal Fee: Laboratory Directors $40; Medical Technologists, Medical Laboratory Technicians, Clinical Laboratory Specialists and Cytotechnologists $30. Centers for Disease Control and Prevention. ], National Institute of Diabetes and Digestive and Kidney Diseases, Information For Laboratory Personnel | Monkeypox | Poxvirus | CDC, Advanced Catalog Search (beiresources.org). 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. California Clinical Lab License. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. The Department also issues written verification of licensure confirming an individual is licensed in NYS and their registration status. -Read Full Disclaimer. N Plan You have a great idea and want to turn it into a successful business. Your email has been added to the limited NJ Division of Consumer Affairs - State Board of Medical Examiners

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