As of June 25, 2020, all in-state and out-of-state laboratories who are processing and testing samples from Nevada residents are required to report COVID-19 test results to the Division of Public and Behavioral Health within 24 hours from analysis through an established reporting method.

In order to perform testing in Nevada, your laboratory must have an active State of Nevada laboratory license and Federal CLIA certificate and be in compliance with the laboratory regulations in Nevada Administrative Code (NAC) 652. Contact Brad Waples at if you have any questions.

Nevada placed a freeze on new ELR onboarding effective March 15, 2022. Laboratories that did not begin the onboarding process prior to March 5 will not be considered for ELR onboarding, at this time. The freeze coincides with activities and resources necessary for planning and implementation of a new disease surveillance system. ELR onboarding will resume after system implementation.

Reporting directly to Nevada’s Department of Health and Human Services: If you have already started testing and have not reported and/or have lab data that has not been transmitted by ELR, you must submit required lab test results within 24 hours of analysis via email to using this Excel Reporting Template. If you have trouble sending emails or have any questions regarding this interim process, contact

Required COVID lab results: Beginning April 4, 2022, COVID-19 testing facilities are no longer required to report negative results for tests authorized for use under a CLIA certificate of waiver. This includes rapid and antigen testing performed for screening testing at schools, correctional facilities, employee testing programs, long-term care facilities, and rapid testing performed in pharmacies, medical provider offices, and drive-through and pop-up testing sites. Facilities certified under CLIA performing moderate or high-complexity tests are still required to report both positive and negative results for laboratory-based nucleic acid amplification tests (NAATs). In addition, testing facilities are no longer required to report positive or negative antibody test results.

Death Definition

Starting January 1, 2022, the State of Nevada will use the confirmed and probable death definitions adopted by the Council of State and Territorial Epidemiologists (CSTE). Questions about classification of COVID deaths in Nevada can be sent to