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Public Health and Environmental Laboratories Payment

Public Health and Environmental Laboratories Payment

Selections:

License - Clinical Laboratory/Collection Station

Paying via e-check or credit card:

Directions: Click on the type of license you wish to pay for from the selections below. For an initial license application transaction, please choose License/Permit/Certificate from the drop down box under the Application Type Information header, and click on New Registration.

Each testing laboratory or collection station applying for an initial license must submit a separate payment transaction. A single transaction may not be used to pay for multiple initial licenses.

For license renewal, new specialty, address change or assessment of penalty application transactions, please choose License/Permit/Certificate from the drop down box under the Application Type Information header, and click on Renewal. Please include your laboratory’s CLIS ID number in the field labeled "Number" under the Pertinent Number header.

To submit a license renewal payment for multiple testing laboratories or collection stations (up to a maximum of 20), click on the "Add Row" button under the Pertinent Number header and enter the CLIS ID number for each testing laboratory or collection station.

When you are finished paying: Print the confirmation page or the confirmation e-mail you received as proof of payment. Attach this printout to your original, signed application.

Important: Online payment alone is not sufficient for our review process to begin. The original, signed application and any required attachments and/or supporting documentation must be mailed to this office with proof of the ePayment attached.

Please note that the licensure fees submitted are non-refundable.

License – Blood Bank

Paying via e-check or credit card:

Each facility applying for an initial license must submit a separate payment transaction. A single transaction may not be used to pay for multiple initial licenses.

For license renewal, additional service or assessment of penalty application transactions, please choose License/Permit/Certificate from the drop down box under the Application Type Information header, and click on Renewal. Please include your Blood Bank Code number in the field labeled "Number" under the Pertinent Number header.

To submit a license renewal payment for multiple facilities (up to a maximum of 20), click on the "Add Row" button under the Pertinent Number header and enter the Blood Bank Code number for each facility.

When you are finished paying: Print the confirmation page or the confirmation e-mail you received as proof of payment. Attach this printout to your original, signed application.

Please note that the licensure fees submitted are non-refundable.

Laboratory Billing

Paying via e-check or credit card:

Directions: Click on the payment form from the selections below. Please include your Invoice number in the field labeled “number” under the Pertinent Number header.

To submit a payment for multiple invoices (up to a maximum of 20), click on the “Add Row” button under the Pertinent Number header and enter each Invoice number.

When you are finished paying:Print the confirmation page or the confirmation e-mail you received as proof of payment.