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LETTER OF PHLEBOTOMY EXPERIENCE FOR CALIFORNIA CERTIFICATION - cdph ca 2026
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- Click ‘Get Form’ to open the LETTER OF PHLEBOTOMY EXPERIENCE FOR CALIFORNIA CERTIFICATION in the editor.
- Begin by entering the 'Laboratory Information'. Fill in the name, address, email, telephone number, and CLIA certificate details of the laboratory where you were employed.
- Next, complete the 'Applicant Information' section. Provide your name, social security number, address, and telephone number.
- Indicate your dates of employment and total hours of on-the-job experience in phlebotomy over the last five years. If applicable, specify if you have less than or greater than 1040 hours.
- List your proficiency areas in phlebotomy as outlined in the form. Ensure that you detail each area accurately.
- Document any completed procedures on clinical patients as required. Make sure to include successful skin punctures and venipunctures.
- Finally, have the Laboratory Director sign and print their name along with their license number to validate your experience.
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phlebotomy experience certificate
Complete a Phlebotomy training program that is approved by the California Department of Public Health (CDPH). These programs typically take around 3-6 months toRead more
The above named individual has on-the-job experience performing phlebotomy within the last 5 years, in accordance with the California Business and ProfessionsRead more