Please download, print and complete the paper application and submit along with your fees to the address listed below:
Florida Board of Clinical Laboratory Personnel
P. O. Box 6330
Tallahassee, FL 32314-6330
The following documents are required in order to complete your application:
- Have official final transcripts mailed directly from your college or university to the board office at the address provided below:
Florida Board of Clinical Laboratory Personnel
4052 Bald Cypress Way, Bin # C 07
Tallahassee, FL 32399-3257
Within 7-14 days of receipt of your application, the board office will notify you of the status of your application and any remaining required documents that needs to be submitted.
- Contact the state licensing office in each state in which you currently hold or have ever held a license and request the licensure verification to be sent directly to the board office.
- Contact the national certification agency and request the certification to be sent directly to the board office.
- If you responded “yes” to any of the Health History questions on the application, submit a letter to the board office providing the relevant dates and circumstances of your treatment and/or addiction and include the names and addresses of the medical practitioners or hospitals that performed your treatment.
- If you responded “yes” to any of the Discipline History questions on the application, contact the state board where the discipline occurred to request that certified copies of the board order and any other documents relative to the disciplinary action be submitted directly to the board office.You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.
- If you responded “yes” to any of the Criminal History questions on the application, contact the clerk of courts in the jurisdiction in which the offense occurred and request that a certified copy of your final/official court disposition be mailed directly to the board office. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
If applicable, request the following documentation to be sent directly to the board office: a certified copy of your completion of probation and documentation showing that you have paid all fines. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
You must also submit a letter in your own words describing the circumstances of the offense. Your letter must include the date of the original offense, the charge and the jurisdiction where it occurred.
Note: All applications with Criminal History, Discipline or Health History will be presented to the board for review. Board staff will notify you of the date that your application will be presented in the event you would like to attend.