Health Screen Testing (HST) Permit Last updated 01/13/2025

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Fees

License Fee Description Exemptions
$150.00
None

Description

Permits the performance of specific laboratory tests for health screening without a clinicians order (mall testing). Tests included are blood hemoglobin, packed red cell volume, total cholesterol, blood glucose, blood in feces, human chorionic gonadatropin, high density lipoprotein cholesterol, triglyceride and low density lipoprotein cholesterol by calculation.

Duration

24 months: 7/1 to 6/30 on even numbered years

Renewal Information

None

Duplicate License Requirements

None

Processing Time

Processing Time Description
1 Week Dependent on receipt of completed and signed HST application in processable condition with necessary supporting documentation (see director qualifications), payment received, and has or has applied for the necessary CLIA certificate to satisfy federal regulations.

Prerequisites and Requirements

Required Documentation

Director Qualification Appraisal form, copy of pertinent credentials, completed and signed application.

Examination Information

None

Continuing Education Requirements

None

Bonding Requirements

None

Insurance Requirements

None

Additional Information

Other Information

Must also be certified or accredited for testing under CLIA, 42CFR, Part 493

Statutes, Administrative Rules, Ordinances

Other Detail Information

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