California Code of Regulations › Title 17 - Public Health › Division 1 - State Department of Health Services › Chapter 2 - Laboratories › Subchapter 1 - Service Laboratories › Group 2 - Clinical Laboratory Regulations › Article 1.5 - LICENSURE OF CLINICAL LABORATORY PERSONNEL › Section 1031 - Requirements and Timeframes for Applications for Licensure and Certification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
						Applications for admission to a state-administered licensing examination shall be
						complete when the information specified in Section
						1031(b) has been
						received by the department. For an applicant to be eligible for a scheduled
						examination, the completed application must be postmarked at least 120 days prior to
						the examination date as published by the Department of Health Services. When
						applying for admission to the examination, the applicant shall state whether he or
						she has previously applied to the department for admission to an
						examination.
(b) An application for
						licensure to direct a clinical laboratory or to perform clinical laboratory tests or
						examinations under Chapter 3 shall be considered complete when the following is
						provided to the department:
(1) Name and address
						of the applicant, including city, state and zip code; and
(2) Social security number of the applicant
						(Pursuant to the authority found in Section
						1224
						of the Business and Professions Code and in Section
						100275
						of the Health and Safety Code, and as required by Section
						17520 of the Family
						Code, it is mandatory to provide the social security number. The social security
						number will be used for purposes of identification.); and
(3) Gender and birthdate; and
(4) License for which the applicant is applying;
						and
(5) Whether the applicant has or has
						not been convicted of any felonies or misdemeanors other than minor traffic
						violations; and
(6) Documentation of the
						applicant's education including:
(A) Name, address,
						major course of study, dates of attendance, number of credits, and degree/completion
						date for all colleges and universities attended by the applicant; and
(B) Official transcripts from the registrar of all
						accredited colleges or universities attended by the applicant showing all courses,
						course credits, degrees conferred and date of conference; and
(C) Official transcripts from non-United States
						colleges or universities which are not in English shall be returned to the applicant
						to obtain translation from a translation service approved in the United States for
						legal or government documents.
(7) Documentation of the applicant's training
						including:
(A) Name and address of training
						program, dates of training, specialty and subspecialty areas of training, length of
						time in each specialty and subspecialty area of training; and
(B) Signed documentation from the training program
						director that this training has been successfully completed; and
(8) Documentation of the applicant's experience,
						appropriate to the specific license for which the applicant is applying, including
						the following:
(A) Facility name, address, dates
						of employment, number of hours per week employed, the specialties and subspecialties
						in which clinical laboratory tests or examinations were performed and a description
						of clinical laboratory tests or examinations performed; and
(B) Signed documentation of such experience from
						the director of the laboratory; and
(9) Evidence of satisfactory performance on a
						licensing examination pursuant to Section
						1029; and
(10) Signature of the applicant, telephone number
						and date of application; and
(11)
						Payment of license application fee pursuant to Business and Professions Code Section
						1300.