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Clinical Laboratory Technologist Checklist

Checklist I: Clinical Laboratory Technologist Full License Complete the forms indicated below in the appropriate column for the type of education you have completed. Submit the forms, or request that they be submitted, to the Office of the Professions at the address at the end of each form. In the space provided on the Checklist below, record the date you sent or requested the form to be sent. More information on completing the forms can be found on our web site at Checklist I To be licensed, applicant must meet requirements for A, B, OR C. To obtain a Limited Permit, applicant must also meet requirements for D.

Laboratory Technology or its substantial equivalent from a college or university credit-bearing program D. Limited Permit To request authorization to practice under the general supervision of the director of a clinical laboratory for up to one (1) year** while waiting to pass the ASCP Medical Laboratory Scientist (MLS) examination Graduate of a

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