New York State Department of Health, Wadsworth Center
Published on New York State Department of Health, Wadsworth Center (https://www.wadsworth.org)

Home > Regulatory Programs > Clinical Laboratory Evaluation Program > Limited Service Laboratories

Limited Service Laboratories [1]

Limited Service Laboratories include hospital extension clinics, hospital owned physician practices, nursing homes, home health care agencies, school/student health services, dialysis facilities, ambulatory surgery centers, county health departments, correctional facilities, ambulance/rescue squads and other direct patient care facilities performing only waived and/or provider-performed microscopy procedures (PPMP).

The laboratory director designee must be a licensed health care practitioner (Physician, Podiatrist, Dentist, PA, NP, PharmD, RPh or CNM only) or a Ph.D. or D.Sc. holding a Certificate of Qualification. 

Special Notice Regarding Laboratory Directorship:

  • A Ph.D. or D.Sc. designee is not licensed health care practitioner and may not act as laboratory director in sites performing Provider-performed Microscopy Procedures (PPMP). 
  • A PharmD or RPh designee may only order COVID-19 and/or Influenza testing.  A separate alternate ordering source from another licensed health care practitioner is required for any additional tests.
COVID-19 Response for Limited Service Laboratory Registration Requests and Additions

Entities wishing to perform waived COVID-19 testing at their facility must apply for Limited Service Laboratory registration. This testing may include molecular, antigen or antibody testing.

When completing the Limited Service Laboratory Initial Application DOH-4081 [2] or adding this testing to an existing registration using the Add and/or Delete Test Procedures Form, [3] you must indicate  the type of COVID-19 test (i.e., COVID-19 Antigen, COVID-19 Molecular, or COVID-19 Antibody) 

The current list of devices approved for use in limited service laboratories is (this list will be revised as new tests are approved):

COVID-19 Antigen

*Devices marked with an asterisk require the addition of more than COVID-19 Antigen (e.g. influenza and/or RSV). 

  • Abbott BinaxNOW COVID-19 Ag Card
  • Abbott BinaxNOW COVID-19 Ag 2 Card
  • Abbott BinaxNOW COVID-19 Ag Card Home Test
  • Abbott BinaxNOW COVID-19 Antigen Self Test
  • Access Bio CareStart COVID-19 Antigen Test
  • Access Bio CareStart COVID-19 Antigen Home Test
  • ACON Laboratories Flowflex COVID-19 Antigen Home Test
    • DO NOT USE the ACON Flowflex SARS-Co-V-2 Antigen Rapid Test (Self-Testing) in the dark blue box with “CE” in the bottom right corner. [4]
  • ANP Technologies NIDS COVID-19 Antigen Rapid Test Kit
  • Becton, Dickinson (BD) Veritor At-Home COVID-19 Test
  • Becton, Dickinson (BD) Veritor System for Rapid Detection of SARS-CoV-2
  • Becton, Dickinson (BD) Veritor System for Rapid Detection of SARS-CoV-2 & Flu A+B*
  • Celltrion DiaTrust COVID-19 Ag Home Test
  • Celltrion DiaTrust COVID-19 Ag Rapid Test
  • DiaTrust COVID-19 Ag Home Test from Celltrion USA
  • DiaTrust COVID-19 Ag Rapid Test from Celltrion USA
    • DO NOT USE DiaTrust COVID-19 Ag Home Test from Celltrion Healthcare in the green and white box [5]
  • Ellume COVID-19 Home Test
  • ellume.lab COVID Antigen Test
  • GenBody COVID-19 Ag
  • iHealth COVID-19 Antigen Rapid Test
  • iHealth COVID-19 Antigen Rapid Test Pro
  • InBios International, Inc. SCoV-2 Ag Detect Rapid Test
  • InBios International, Inc. SCoV-2 Ag Detect Rapid Self-Test
  • Luminostics Clip COVID Rapid Antigen Test
  • LumiraDx SARS-CoV-2 Ag Test
  • MaximBio ClearDetect COVID-19 Antigen Home Test
  • Nano-Ditech Corp. Nano-Check COVID-19 Antigen Test
  • Oceanit Foundry LLC ASSURE-100 Rapid COVID-19 Test
  • OraSure Technologies, Inc. InteliSwab COVID-19 Rapid Test Pro
  • OraSure Technologies, Inc InteliSwab COVID-19 Rapid Test Rx 
  • OraSure Technologies, Inc InteliSwab COVID-19 Rapid Test
  • OSANG OHC COVID-19 Antigen Self Test
  • PHASE Scientific International, Ltd. INDICAID COVID-19 Rapid Antigen Test
  • PHASE Scientific International, Ltd. INDICAID COVID-19 Rapid Antigen At-Home Test
  • Princeton BioMeditech Corp. Status COVID-19/Flu A&B*
  • Quidel Sofia SARS Antigen FIA
  • Quidel Sofia 2 Flu + SARS Antigen FIA*
  • Quidel QuickVue SARS Antigen Test
  • Quidel QuickVue At-Home COVID-19 Test
  • Quidel QuickVue At-Home OTC COVID-19 Test
  • Salofa Oy Sienna-Clarity COVID-19 Antigen Rapid Test Cassette
  • SD Biosensor COVID-19 At-Home Test distributed by Roche
    • DO NOT USE SD Biosensor STANDARD Q COVID-19 Ag Home Test [6]
  • SD Biosensor Pilot COVID-19 At-Home Test
  • Siemens Healthineers CLINITEST Rapid COVID-19 Antigen Self-Test
  • Xiamen Boson Biotech Rapid SARS-CoV-2 Antigen Test Card
  • Xtrava Health SPERA COVID-19 Ag Test

COVID-19 Molecular

**Devices marked with an asterisk require the addition of more than COVID-19 Molecular (e.g. influenza and/or RSV). Please contact us if adding the BioFire Panel.  

  • Abbott ID NOW COVID-19
  • Abbott ID NOW COVID-19 2.0
  • BioFire Diagnostics Respiratory Panel 2.1 EZ**
  • Cepheid Xpert Xpress SARS-CoV-2 test
  • Cepheid Xpert Xpress CoV-2 plus
  • Cepheid Xpert Xpress SARS-CoV-2/Flu/RSV**
  • Cepheid Xpert Xpress CoV-2/Flu/RSV plus**
  • Cue Health COVID-19 Test
  • Cue Health COVID-19 Test for Home and Over the counter (OTC) Use
  • Detect Covid-19 Test
  • DxLab COVID-19 Test
  • Lucira CHECK-IT COVID-19 Test Kit
  • Lucira COVID-19 All-In-One Test Kit
  • Mesa Biotech (Thermo) Accula SARS-CoV-2
  • MicroGEM Sal6830 SARS-CoV-2 Saliva Test
  • Minute Molecular Diagnostics, Inc. DASH SARS-CoV-2/S Test
  • Roche Molecular cobas Liat System SARS-CoV-2/Influenza A/B**
  • Roche Molecular cobas SARS-CoV-2 Nucleic acid test for use on the cobas Liat System
  • Roche Molecular cobas SARS-CoV-2 & Influenza A/B Nucleic Acid Test for use on the cobas Liat System**
  • Talis One COVID-19 Test System
  • Uh-Oh Labs Inc. UOL COVID-19 Test
  • Visby Medical COVID-19 Point of Care Test

COVID-19 Antibody

  • Access Bio, Inc. CareStart EZ COVID-19 IgM/IgG
  • Access Bio, Inc. CareStart COVID-19 IgM/IgG
  • Advaite, Inc. RapCov Rapid COVID-19 Test
  • Assure (aka EcoTest, Fastep) COVID-19 IgG/IgM Rapid Test Device
  • Diabetomics, Inc. CovAb SARS-CoV-2 Ab Test
  • Hangzhou Biotest RightSign COVID-19 IgG/IgM Rapid Test Cassette 
    • also sold under the brand names "Premier Biotech” and “CoronaCHEK”
  • InBios International SCoV-2 Detect IgG Rapid Test
  • LumiraDx SARS-CoV-2 Ab Test
  • Megna Health Rapid COVID-19 IgM/IgG Combo Test Kit
  • Nirmidas MidaSpot COVID-19 Antibody Combo Detection Kit
  • NowDiagnostics ADEXUSDx COVID-19 Test
  • Salofa Oy Sienna-Clarity COVIBLOCK COVID-19 IgG/IgM Rapid Test Cassette
    • also sold under the brand names “Clarity COVIBLOCK” and “Sienna”
  • Sugentech SGTi-flex COVID-19 IgG

Community Screening: If a Limited Service Laboratory wants to do testing at off-site Community Screening events, they must request Community Screening approval by checking the appropriate box on the Initial Application form or Add and/or Delete Test Procedures form, as relevant. 

Under community screening, laboratory staff take testing equipment from the registered Limited Service Laboratory to an off-site location where testing will occur.  At the end of the event, staff, equipment & records return to the registered Limited Service Laboratory location.  Nothing can be left behind at the off-site testing location, otherwise a separate Limited Service Laboratory Registration will be required. Laboratories seeking approval to operate off-site community screening events must maintain a protocol describing in detail how laboratory testing will be performed.

Obtaining a Limited Service Laboratory Registration Certificate

Complete the form below and return by mail only with $200 application fee.

Initial Limited Service Laboratory Registration Application DOH-4081 [2]

The submission of incomplete application materials will delay the processing and the issuance of registration certificates.  Please allow a minimum of three (3) weeks to process applications from the date that they are received in our office.

Once the Limited Service Laboratory Registration application is approved, an initial registration certificate will be issued. The certificate will serve to verify your enrollment with this Program and will also provide documentation of your CLIA registration number.  Registrants may only perform the tests listed on the registration certificate issued by the Department. Certificates are valid for two years from the date issued.

MULTI-SITE REGISTRATIONS: Government owned laboratories or sites operated under the same not-for profit corporation may file for a multi-site registration. 

  • To initiate a multi-site registration, please complete the Initial Limited Service Laboratory Registration Application form for the primary site and a Limited Service Laboratory Multi-Site Application form for each secondary site.
  • If adding a secondary site to an existing CLIA registration number, complete Limited Service Laboratory Multi-site Application.

Limited Service Laboratory Multi-Site Application [7]

Registration certificates for all locations in the network will be sent to the Primary Site location. Multi-site network registrants may only perform the tests listed on the registration certificate issued to the Primary Site. Certificates are valid for two years from the date issued.

Changing a Limited Service Laboratory Registration Certificate

To document changes in Limited Service Laboratory Registration status, or to add and/or delete tests, fill out the appropriate form below. 

  • Change in Laboratory Director DOH-4236(b) [8]
  • Change in Laboratory Owner Information [9]
  • Change in Laboratory Location [10]
  • Add and/or Delete Test Procedures Form [3]
  • Change in Laboratory Name [11]

Be aware that completed change forms and any accompanying documentation may be returned BY ONE METHOD ONLY, via fax or email, with a high quality scan via email being the preferred method.  The submission of duplicate and/or incomplete paperwork will delay the processing and the issuance of amended registration certificates.  Please allow a minimum of three (3) weeks to process changes from the date that they are received in our office.

Amended registration certificates will be issued/mailed on the effective date of the change.

Test additions and deletions do not go in effect until an amended certificate has been issued demonstrating the requested change.

Reapplying for a Limited Service Laboratory Registration Certificate

Once the Limited Service Laboratory Registration application is approved, an initial registration certificate will be issued.  The certificate will serve to verify your enrollment with this Program and will also provide documentation of your CLIA registration number.  If you are applying for a multi-site network registration, registration certificates for all locations in the network will be sent to the Primary Site location. Registrants may only perform the tests listed on the registration certificate issued by the Department. Multi-site network registrants may only perform the tests listed on the registration certificate issued to the Primary Site.  

Certificates are valid for two years from the date issued.  Approximately three months before a registration expires, you will be sent materials via mail to renew your Limited Service Laboratory Registration and/or Limited Service Laboratory Multi-Site Network Registration.  It is important for laboratories to keep our office informed of changes which may affect the delivery of registration materials, for example:

  • Contact Person
  • Laboratory Director
  • Laboratory Address
  • Alternate Mailing Address
  • A working Email Address

If we are unable to deliver registration materials to you in a timely manner, your laboratory’s Limited Service Laboratory Registration may lapse. Be aware that reapplications must be returned by mail only (with original signatures).  The submission of incomplete and/or late reapplication materials will delay the processing and the issuance of new registration certificates

Renewal registration certificates will be mailed approximately two weeks prior to the current certificate expiration date.

Payment of Registration and/or Reapplication Fees

The $200.00 Initial Limited Service Laboratory Registration and/or Limited Service Laboratory Registration Reapplication fees should be enclosed with your registration materials.  This fee is non-refundable.

Paying by check or money order: Make the payment out to New York State Department of Health.  Your payment should be mailed with your application and/or reapplication materials. It should include your PFI#, or the complete facility name in the memo area of the check (or check stub).

For making payments in State Financial System (SFS):

  • The payment should be classified as "Outside Party", not "Interagency".
  • The Vendor ID is:  0430000056
  • The Vendor Name is:  DOH CLEU Revenue Account, short name is DOH CLEU R-001
  • Select “2” for address to send directly to the CLEP.  This should read Clinical Lab Eval Prog Wadsworth Ctr, PO Box 509 Empire State Plz, Albany, NY 12201-0509
  • For Location: enter 'Maincheck' to generate a physical check. This method will ensure that CLEP receives and applies your payment in a timely fashion.  Please do not use 'Mainepay'.
  • Please include the PFI of the limited laboratory in the invoice#.  This will ensure the payment is properly applied.
  • Please ensure that the information as requested above is reflected on both the Invoice Information Tab and the Payments Tab in SFS
  • For an initial application, when the PFI is not known, please include the applicant name as a message in the Payment Method section on the Payments tab in SFS.

Instructions to volunteer ambulance services seeking a fee waiver: Volunteer ambulance services (as defined in Article 30 of the Public Health Law and operated under Section 209-B of the General Municipal Law) seeking a waiver of the $200.00 Initial Limited Service Laboratory Registration Application and/or Limited Service Laboratory Reapplication fees must provide copies of both of the following documents with your application and/or reapplication materials. 

  • Application for EMS Operating Certificate, form DOH-206 that was filed with the Bureau of EMS
  • Your current EMS Operating Certificate

This documentation may be obtained through the Bureau of EMS Central Office at 518-402-0996, or through the Bureau of EMS [12].

Limited Service Laboratory Application Process Video Series
  1. Considerations Prior to Submitting an Initial Registration Appplication [13]
  2. Considerations Before, During and After Testing [14]
  3. Initial Registration Application [15]
  4. Multi-network Registration Application [16]
  5. Considerations for Rapid HIV Testing [17]
  6. Considerations for Rapid Hepatitis C Testing [18]
  7. Registration Application Reapplication [19]
  8. Changing a Registration Certificate [20]
Standards of Practice and Good Laboratory Practice Materials

Standard Practices in Laboratory Medicine for Limited Service Laboratories [21]

Centers For Disease Control Publication “Good Laboratory Practices for Waived Testing Sites [22]”      

Public Health Law

Amendments to Article 5, Title V Public Health Law effective August 7, 2008 Subsection 579 Scope and Exceptions and Subsection 580 Construction [23]

Article 5, Title V Public Health Law effective August 7, 2008, Subsection 579 Scope and Exceptions

  • Follow the link [24], enter "579" in the search box and click "Public Health Law 579"

Search FDA Database
  • Search FDA Database for Approved Test Devices [25]       
  • Search FDA Database for IVD Over-The-Counter Lab Test Devices [26]   
  • Search FDA Database for COVID-19 EUA Devices [27] 
Relevant Departments and Programs
  • NYS Department of Education Office of Professions [28]                  
  • NYS Department of Health AIDS Institute [29]           
  • NYS Department of Health Blood Lead Testing Information for Laboratories [30]  
  • NYS Department of Health Bureau of EMS [31]          
  • NYS Department of Health Hepatitis C Program [32]             
  • Physician Office Laboratory Evaluation Program [33]  
  • NYS Office of Alcoholism and Substance Abuse Services [34]

Limited Service Laboratory Contact [35] 


Source URL (modified on 06/23/2022 - 3:32pm):https://www.wadsworth.org/regulatory/clep/limited-service-lab-certs

Links
[1] https://www.wadsworth.org/regulatory/clep/limited-service-lab-certs [2] https://www.wadsworth.org/sites/default/files/WebDoc/LSL_DOH-4081_Initial_Ins_App_0622.pdf [3] https://www.wadsworth.org/sites/default/files/WebDoc/FINAL%20DOH-4236%28e%29_CHg%20Test%20Form1221_0.pdf [4] https://www.fda.gov/medical-devices/safety-communications/do-not-use-certain-acon-flowflex-covid-19-tests-fda-safety-communication?ACSTrackingID=USCDC_2146-DM77089&ACSTrackingLabel=Lab%20Alert%3A%20FDA%20Says%20Do%20Not%20Use%20These%20Unauthorized%20COVID-19%20Tests&deliveryName=USCDC_2146-DM77089 [5] https://www.fda.gov/medical-devices/safety-communications/do-not-use-certain-celltrion-diatrust-covid-19-tests-fda-safety-communication?ACSTrackingID=USCDC_2146-DM77089&ACSTrackingLabel=Lab%20Alert%3A%20FDA%20Says%20Do%20Not%20Use%20These%20Unauthorized%20COVID-19%20Tests&deliveryName=USCDC_2146-DM77089 [6] https://www.fda.gov/medical-devices/safety-communications/do-not-use-sd-biosensor-standard-q-covid-19-ag-home-tests-fda-safety-communication?ACSTrackingID=USCDC_2146-DM77089&ACSTrackingLabel=Lab%20Alert%3A%20FDA%20Says%20Do%20Not%20Use%20These%20Unauthorized%20COVID-19%20Tests&deliveryName=USCDC_2146-DM77089 [7] https://www.wadsworth.org/sites/default/files/WebDoc/DOH-4081MS_Ins_App_0122.pdf [8] https://www.wadsworth.org/sites/default/files/WebDoc/Chg_Director_4236%28b%29_Rev%200522.pdf [9] https://www.wadsworth.org/sites/default/files/WebDoc/LSL_DOH-4236%28c%29_Owner%20Info%20Chg%20Form_0420.pdf [10] https://www.wadsworth.org/sites/default/files/WebDoc/LSL_DOH-4236%28d%29_Chg_Location_0420.pdf [11] https://www.wadsworth.org/sites/default/files/WebDoc/LSL_DOH-4236%28f%29_Lab%20Name%20Chg%20Form_0420.pdf [12] http://www.health.ny.gov/professionals/ems/ [13] https://vimeo.com/215518786 [14] https://vimeo.com/214664905 [15] https://vimeo.com/216677011 [16] https://vimeo.com/215524068 [17] https://vimeo.com/215517491 [18] https://vimeo.com/215516086 [19] https://vimeo.com/215527011 [20] https://vimeo.com/214562357 [21] https://www.wadsworth.org/sites/default/files/WebDoc/1697462341/FINAL_Guidance%20FAQ%20document%2011_01_13_revised.pdf [22] https://www.cdc.gov/mmwr/PDF/rr/rr5413.pdf [23] https://www.wadsworth.org/sites/default/files/WebDoc/1374916556/FINAL_Amendments%20to%20Article%205%2C%20Title%20V_nlh_052015.pdf [24] http://public.leginfo.state.ny.us/lawssrch.cgi?NVLWO: [25] http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCLIA/search.cfm [26] http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfIVD/Search.cfm [27] https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/in-vitro-diagnostics-euas [28] http://www.op.nysed.gov/ [29] http://www.health.ny.gov/diseases/aids/ [30] http://www.health.ny.gov/environmental/lead/laboratories.htm [31] https://www.health.ny.gov/professionals/ems/ [32] http://www.health.ny.gov/diseases/communicable/hepatitis/hepatitis_c/ [33] https://www.wadsworth.org/regulatory/polep [34] https://www.oasas.ny.gov/ [35] mailto:clepltd@health.ny.gov