Environmental Laboratory Licensure
Check out our new page on Certificates with the CLIA Certification.
What is a public health laboratory? Watch this animated video to learn how public health laboratories protect the public against diseases and other health hazards.
Below is the Environmental Licensure Application. There are seven links for the application, one for the entire application as a whole and then a link for each section of the application.
- ENV Licensure Application
- Part A - Laboratory Information and Signatures
This form is required for all initial and renewal applications and whenever there is a change in owner or director or facility name. Changes in director or owner or facility name must be submitted within 20 days of the change to the Office of Laboratory Services.
- Part B - Laboratory Personnel
This form is required for all personnel that sign off on final reports.
- Part C - List of Licensable Parameters in Rules
This form is where the laboratory may select which parameters to be licensed for by Arizona.
- Part D - Instruments and Software
This form is required for all instruments and software that are to be used for Arizona samples.
- Part E - List of Director Approved parameters
This form provides a list of parameters that have been approved by the director of the Department after the rules were promulgated.
- Additional Approved Target Analytes for Organic Methods
This is a list of additional target analytes that your laboratory may perform for specific methods in specific programs. If you are already licensed for one of the methods listed, then you may begin analyzing for the additional analyte.
Arizona licensure requires a completion of the application per A.A.C. R9-14-603.A. In addition, the Office of Laboratory Services will conduct an on-site inspection of in-state laboratories within 30 days and out-of-state laboratories within 60 days.
Arizona requires annual renewal of the application (along with the fees). In the renewal process, if the laboratory does not wish to make changes to their license, may submit Part A and Part B only.
Note: All files are PDF format.