APPLY ONLINE FOR ALL MEDICAL LABORATORY & LABORATORY PERSONNEL APPLICATIONS by going to the Division's online licensing system at: https://nvdpbh.aithent.com/login.aspx
Medical Laboratory and Laboratory Personnel applications below should only be completed and mailed in if you are unable to submit an electronic application by clicking on the link above.
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) FORMS
Exempt Laboratory Self-Attestation Checklist (used to prepare for inspections/self-audit your laboratory)
ONLINE SUPPLEMENTAL FORMS (To be used only as directed when applying online via the online licensing system)