Florida Regulations 64B3-6.001: Manner of Application
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(1) Application forms:
(a) All applicants for licensure as a Clinical Laboratory Personnel Director shall apply to the Department on Form #DH-MQA 3008 (10/2020) “”Clinical Laboratory Personnel Initial & Upgrade Licensure — Director,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12886, which is incorporated by reference herein.
(b) All applicants for licensure as a Clinical Laboratory Personnel Supervisor shall apply to the Department on Form #DH-MQA 3009 (10/2020), “”Clinical Laboratory Personnel Initial & Upgrade Licensure — Supervisor,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12814, which is incorporated by reference herein.
(c) All applicants for licensure as a Clinical Laboratory Personnel Technologist shall apply to the Department on Form #DH-MQA 3011 (10/2020), “”Clinical Laboratory Initial & Upgrade Licensure — Technologist,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12816, which is incorporated by reference herein.
(d) All applicants for licensure as a Clinical Laboratory Personnel Technician shall apply to the Department on Form #DH-MQA 3010 (10/2020), “”Clinical Laboratory Initial Licensure — Technician,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12815, which is incorporated by reference herein.
(e) Any licensee requesting to add a specialty to his or her current license shall apply to the Department on Form #DH-MQA 3012 (10/2020), “”Clinical Laboratory Licensure — Adding Specialty,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12817, which is incorporated by reference herein.
(2) Copies of all application forms can be obtained from the Board office at 4052 Bald Cypress Way, Bin #C07, Tallahassee, Florida 32399-3257 or from the web at http://www.floridasclinicallabs.gov/licensing. The application must be accompanied by the appropriate application fee required by Rules 64B3-9.001 and 64B3-9.002, F.A.C.
(3) After one year from the date of the original submission of an application, a new application and fee shall be required from any applicant who desires to be considered for licensure.
(4) With regard to persons who have been issued a social security number by the Federal Government, disclosure of a social security number is mandatory pursuant to Section 456.013(1)(a), F.S., and social security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations.
Rulemaking Authority 456.013, 456.0635, 483.805(4), 483.807 FS. Law Implemented 381.0034(3), 456.013, 456.022, 456.033, 456.0635, 483.807, 483.815, 483.823, 483.824 FS. History-New 12-29-93, Formerly 61F3-6.001, Amended 5-29-95, 8-1-95, Formerly 59O-6.001, Amended 8-27-97, 9-20-98, 1-5-00, 3-24-02, 4-13-04, 6-17-09, 7-14-10, 6-14-12, 12-24-12, 8-2-15, 9-17-17, 9-4-18, 4-14-21.
(b) All applicants for licensure as a Clinical Laboratory Personnel Supervisor shall apply to the Department on Form #DH-MQA 3009 (10/2020), “”Clinical Laboratory Personnel Initial & Upgrade Licensure — Supervisor,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12814, which is incorporated by reference herein.
(c) All applicants for licensure as a Clinical Laboratory Personnel Technologist shall apply to the Department on Form #DH-MQA 3011 (10/2020), “”Clinical Laboratory Initial & Upgrade Licensure — Technologist,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12816, which is incorporated by reference herein.
(d) All applicants for licensure as a Clinical Laboratory Personnel Technician shall apply to the Department on Form #DH-MQA 3010 (10/2020), “”Clinical Laboratory Initial Licensure — Technician,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12815, which is incorporated by reference herein.
(e) Any licensee requesting to add a specialty to his or her current license shall apply to the Department on Form #DH-MQA 3012 (10/2020), “”Clinical Laboratory Licensure — Adding Specialty,”” http://www.flrules.org/Gateway/reference.asp?No=Ref-12817, which is incorporated by reference herein.
(2) Copies of all application forms can be obtained from the Board office at 4052 Bald Cypress Way, Bin #C07, Tallahassee, Florida 32399-3257 or from the web at http://www.floridasclinicallabs.gov/licensing. The application must be accompanied by the appropriate application fee required by Rules 64B3-9.001 and 64B3-9.002, F.A.C.
(3) After one year from the date of the original submission of an application, a new application and fee shall be required from any applicant who desires to be considered for licensure.
(4) With regard to persons who have been issued a social security number by the Federal Government, disclosure of a social security number is mandatory pursuant to Section 456.013(1)(a), F.S., and social security numbers are used to allow efficient screening of applicants and licensees by a Title IV-D child support agency to assure compliance with child support obligations.
Rulemaking Authority 456.013, 456.0635, 483.805(4), 483.807 FS. Law Implemented 381.0034(3), 456.013, 456.022, 456.033, 456.0635, 483.807, 483.815, 483.823, 483.824 FS. History-New 12-29-93, Formerly 61F3-6.001, Amended 5-29-95, 8-1-95, Formerly 59O-6.001, Amended 8-27-97, 9-20-98, 1-5-00, 3-24-02, 4-13-04, 6-17-09, 7-14-10, 6-14-12, 12-24-12, 8-2-15, 9-17-17, 9-4-18, 4-14-21.