64B3-6.001. Manner of Application

CHAPTER 64B3-6 LICENSURE 64B3-6.001 Manner of Application 64B3-6.002 Documentation for Licensure 64B3-6.003 Personnel Licensure – Temporary License 64B3-6.001 Manner of Application. (1) Application forms: (a) All applicants for licensure as a Clinical Laboratory Personnel Director shall apply to the Department on Form #DH-MQA 3008 (Revised 5/2025) “Clinical Laboratory Personnel Initial & Upgrade Licensure ‒ Director,” http://flrules.org/Gateway/reference.asp?No=Ref-18570, 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 (Revised 5/2025), “Clinical Laboratory Personnel Initial & Upgrade Licensure ‒ Supervisor,” http://flrules.org/Gateway/reference.asp?No=Ref-18571, 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 (Revised 5/2025), “Clinical Laboratory Personnel Initial & Upgrade Licensure ‒ Technologist,” http://flrules.org/Gateway/reference.asp?No=Ref-18573, 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 (Revised 5/2025), “Clinical Laboratory Initial Licensure ‒ Technician,” http://flrules.org/Gateway/reference.asp?No=Ref-18572, 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 (Revised 5/2025), “Clinical Laboratory Personnel Licensure ‒ Adding Specialty,” http://flrules.org/Gateway/reference.asp?No=Ref-18574, which is incorporated by reference herein. (f) All applicants for licensure by endorsement. shall apply to the Department on Form #DH-MQA-5101 (5/2025), “Mobile Opportunity by Interstate Licensure Endorsement (MOBILE)” https://flrules.org/Gateway/reference.asp?No=Ref-18611, 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.