• West Virginia HIV Testing Certification

    Application Director Tool

  • IMPORTANT NOTES-WAIVED TESTING

    • You will be required to upload documentation within the online submission. Please have the documents ready prior to starting the survey.
    • Renewal notifications may be sent to more than one contact per facility, so please coordinate with your team before completing the survey. 
    • Those who are contacts for multiple facilities will only receive one email notification. Please be sure to create a new submission for each laboratory. 

    Information you will need before beginning

    • CLIA certificate
      • The acceptable file types are PDF, DOCX, HTML, JPG, JPEG, and PNG.
      • The maximum size per file is 10,000 KB.
    • Laboratory and contact information
      • Facility name, CLIA number, physical address, laboratory director name, and laboratory director credentials EXACTLY AS DISPLAYED ON YOUR CLIA CERTIFICATE (except for capitalization; please do not use CAPS unless appropriate [e.g. LLC]). 
      • Name, email, and phone number for 2 separate contacts for AIDS-related testing
    • Testing information
      • Test kit and sample type information (fingerstick whole blood, venipuncture whole blood, oral fluid)
      • Reference laboratory information (laboratory you send samples to for further testing)

    Submission actions

    • Upon submission, a confirmation email with a PDF of your responses will automatically be sent to email address listed for both contacts.
    • Once we receive payment and determine your application to be complete, both contacts will automatically receive a certificate and letter of approval.
    • Please allow two weeks for processing. 

    Payments

    • The annual cost for HIV certification is $30.
    • The payment link for those making credit card payments will be included at the top of your submission confirmation email.
    • Blank invoice forms for those making payment via check will be emailed to both contacts after an initial review.
    • Please be sure to return the completed invoice with your check to avoid processing delays. If possible, include the CLIA number on the check. 
    • Make checks payable to DEPARTMENT OF HEALTH and mail to the address below. 
    Office of Laboratory Services
    HIV Laboratory Certification
    ATTN: Amy Grandstaff
    167 11th Avenue
    South Charleston, WV 25303
     
    Once you have gathered the necessary information and documents, click HERE to be directed to the application. 

  • IMPORTANT NOTES-NONWAIVED TESTING

    • You will be required to upload documentation within the online submission. Please have the documents ready prior to starting the survey.
    • Renewal notifications may be sent to more than one contact per facility, so please coordinate with your team before completing the survey. 
    • Those who are contacts for multiple facilities will only receive one email notification. Please be sure to create a new submission for each laboratory. 

    Information you will need before beginning

    • CLIA certificate
      • The acceptable file types are PDF, DOCX, HTML, JPG, JPEG, and PNG.
      • The maximum size per file is 10,000 KB.
    • Laboratory and contact information
      • Facility name, CLIA number, physical address, laboratory director name, and laboratory director credentials EXACTLY AS DISPLAYED ON YOUR CLIA CERTIFICATE (except for capitalization; please do not use CAPS unless appropriate [e.g. LLC]).
      • Name, email, and phone number for 2 separate contacts for AIDS-related testing
    • Testing information
      • Tests, methods, and/or instrument information
      • Proficiency testing results (3 most recent events)
      • Reference laboratory information

    Submission actions

    • Upon submission, a confirmation email with a PDF of your responses will automatically be sent to email address listed for both contacts.
    • Once we receive payment and determine your application to be complete, both contacts will automatically receive a certificate and letter of approval.
    • Please allow two weeks for processing. 

    Payments

    • The annual cost for HIV certification is $30.
    • The payment link for those making credit card payments will be included at the top of your submission confirmation email.
    • Blank invoice forms for those making payment via check will be emailed to both contacts after an initial review.
    • Please be sure to return the completed invoice with your check to avoid processing delays. If possible, include the CLIA number on the check. 
    • Make checks payable to DEPARTMENT OF HEALTH and mail to the address below. 
    Office of Laboratory Services
    HIV Laboratory Certification
    ATTN: Amy Grandstaff
    167 11th Avenue
    South Charleston, WV 25303
     
    Once you have gathered the necessary information and documents, click HERE to be directed to the application. 

  • IMPORTANT NOTES-OUT OF STATE TESTING

    • You will be required to upload documentation within the online submission. Please have the documents ready prior to starting the survey.
    • Renewal notifications may be sent to more than one contact per facility, so please coordinate with your team before completing the survey. 
    • Those who are contacts for multiple facilities will only receive one email notification. Please be sure to create a new submission for each laboratory. 

    Information you will need before beginning

    • CLIA certificate
      • The acceptable file types are PDF, DOCX, HTML, JPG, JPEG, and PNG.
      • The maximum size per file is 10,000 KB.
    • Laboratory and contact information
      • Facility name, CLIA number, physical address, laboratory director name, and laboratory director credentials EXACTLY AS DISPLAYED ON YOUR CLIA CERTIFICATE (except for capitalization; please do not use CAPS unless appropriate [e.g. LLC]).
      • Name, email, and phone number for 2 separate contacts for AIDS-related testing
    • Testing information
      • Tests, methods, and/or instrument information
      • Proficiency testing results (3 most recent events)
      • Reference laboratory information

    Submission actions

    • Upon submission, a confirmation email with a PDF of your responses will automatically be sent to email address listed for both contacts.
    • Once we receive payment and determine your application to be complete, both contacts will automatically receive a certificate and letter of approval.
    • Please allow two weeks for processing. 

    Payments

    • The annual cost for HIV certification is $40.
    • The payment link for those making credit card payments will be included at the top of your submission confirmation email.
    • Blank invoice forms for those making payment via check will be emailed to both contacts after an initial review.
    • Please be sure to return the completed invoice with your check to avoid processing delays. If possible, include the CLIA number on the check. 
    • Make checks payable to DEPARTMENT OF HEALTH and mail to the address below. 
    Office of Laboratory Services
    HIV Laboratory Certification
    ATTN: Amy Grandstaff
    167 11th Avenue
    South Charleston, WV 25303
     
    Once you have gathered the necessary information and documents, click HERE to be directed to the application. 
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