Clinical Laboratory Technology

Federal Initiatives Related to Nurses and Clinical Laboratory Practice

Two recent federal initiatives (described below) have caused concern among some professionals in New York.
  • The federal Department of Veterans Affairs (VA) proposed a regulation to allow Advanced Practice Registered Nurses to supervise and perform laboratory tests in VA laboratory facilities. New York State does not regulate VA laboratory facilities or VA laboratory staff.
  • The Centers for Medicare & Medicaid Services (CMS) indicated that that Clinical Laboratory Improvement Act (CLIA) allows RNs with BSNs to perform moderate and high complexity laboratory tests and RNs with ADNs to perform moderate complexity tests. CLIA does not apply to New York State Clinical Laboratories or to any staff who work for these laboratories. Federal Law specifically allows New York State to regulate New York State Clinical Laboratories in accordance with New York State Law.
Please see Questions & Answers related to Practice of Clinical Laboratory Technology Professionals for an Advisory related to these initiatives.


Limited Licenses in Clinical Laboratory Technology and Certified Histological Technician will expire on August 31, 2018. Chapter 147 of the Laws of 2018 has been enacted to establish a provisional permit in Clinical Laboratory Technology and Certified Histological Technician. The requirements for the provisional permit include the same requirements as those for the limited license. Provisional permits will enable individuals who meet the requirements to work in a laboratory, under supervision, for one year in order to provide them with time to complete the education and/or examination requirements needed for full licensure. The provisional permits can be extended for one additional year for good cause as determined by the Department.

Individuals with a limited license who wish to apply for a provisional permit must do so immediately in order to avoid a lapse. Clinical laboratory technology services may not be performed without an appropriate license or permit. An e-mail providing information on how to apply for a provisional permit has been sent to all limited license holders, including a link to the Provisional Permit Application Form for current limited license holders. Forms for those who do not hold a current limited license will be available on the website soon and will be announced on the webpage.

Clinical Laboratory Technology Practitioners are clinical laboratory technologists, cytotechnologists, certified clinical laboratory technicians and certified histological technicians who work in licensed clinical laboratories and practice clinical laboratory technology.

Clinical Laboratory Technology Practitioners are an essential part of the team of health care professionals. They perform tests and procedures on all bodily fluids and tissue that are critical to the diagnostic process in determining health and disease. They also have a critical role in determining the nature of substances that are used by bioterrorists.

At least 70% of all diagnoses rely on testing done by clinical laboratory technology professionals. 

Read more about this profession.

Last Updated: September 6, 2016