Medical Laboratories Forms

Online Applications for Medical Laboratory or Laboratory Personnel

Medical Laboratory and Laboratory Personnel applications must be completed online at this link.

Below are links to supplemental forms to be used only as directed when applying online via the online licensing system:

• Laboratory Director Verification Form
• Exempt Laboratory Checklist Items
• Exempt-Outpatient Laboratory Checklist Items
• Registered Laboratory Checklist Items
• Licensed Laboratory Checklist Items
• Public Health Licensed Laboratory Checklist Items
• Waived HIV Test Only Laboratory Checklist Items
• Office Laboratory Assistant Application Employment Verification Form

School Districts Laboratory Application

In an effort to address the COVID-19 pandemic, the Federal Government through the Centers for Medicare and Medicaid Services (CMS), is moving forward with securing and distributing COVID-19 testing supplies to the K through 12 school system. To take advantage of this testing capability, each participating school district will be required to have a state of Nevada laboratory license and a Federal CLIA (Clinical Laboratory Improvement Amendments) certificate. For more information, click on the PDF linked below.

• Application Process for School Districts to Obtain an Exempt Laboratory License to Perform COVID-19 Waived Testing