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New york state non permitted lab test request

New york state non permitted lab test request 2025

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The document outlines the procedures and requirements for requesting approval to use non-permitted or non-approved laboratories for testing in New York State. It details the necessary information that must be provided in the request form, justifications for using such laboratories, and the responsibilities of practitioners. The Clinical Laboratory Evaluation Program administers these requests, ensuring compliance with state regulations while allowing exceptions based on specific patient circumstances.

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Click ‘Get Form’ to open it in the editor.
Begin by entering today’s date at the top of the form. This is essential for tracking your request.
Fill in the patient’s name and unique identifier. Ensure accuracy as this information is critical for processing.
Describe the symptoms or diagnosis clearly in the designated field, providing as much detail as possible.
If applicable, specify the gene name related to the test requested. This helps clarify the nature of the testing needed.
Indicate the specific test requested and specimen type, such as blood or urine, ensuring that all fields are completed accurately.
Provide detailed information about your facility, including name, address, contact person, and phone number. This ensures proper communication regarding your request.
Lastly, ensure that all sections are filled out completely before submitting to avoid delays in processing your request.

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Versions	Form popularity	Fillable & printable
2016	4.2 Satisfied (45 Votes)
2013	4.1 Satisfied (22 Votes)
2012	4 Satisfied (44 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who sets regulations for all performing labs in the US?

The Centers for Medicare Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA) program. The objective of CLIA is to ensure quality laboratory testing.

What New York state regulation is required for all specimens?

Are appointments required? Appointments are not required but may help reduce your patients wait time.

What NYS regulation is required for all specimens?

New York State Public Health Law (Article 5, Title V, Section 574) and regulations (Subsection 58-1.10 (g) of 10NYCRR) require that all specimens obtained within New York State be tested by a laboratory that holds a New York State clinical laboratory permit, including test-specific approval when required.

What is needed to operate a laboratory in NYC?

General Requirements submit the application and fee for initial certification; be of good moral character; be at least 18 years of age; meet education or alternative to education requirements; and. meet examination requirements.