Multiphasic Health Testing Centers (MHTC)
| Applications and appropriate fees should be mailed to:
Laboratory Unit Phone: (850) 487-3109 |
|
| publicrecordsreq@ahca.myflorida.com | |
Multiphasic health testing centers provide two or more limited health testing services that are either performed at the center or involve the sending of specimens to a clinical laboratory. The testing center may be any fixed or mobile facility. Examples of testing services offered are, height and weight determinations, blood pressure testing, limited audio and visual testing and electrocardiograms. Blood and urine specimens may also be obtained on site and delivered to a licensed clinical laboratory for analysis.
These test centers are regulated under Chapter 483, Part II, Florida Statutes and 59A-6, Florida Administrative Code.
Applications:
Complete the information in the forms below for an initial or renewal application. Instructions are included with each form.
- Initial or Renewal MHTC licensure application
- Health Care Licensing Application
- Health Care Licensing Application Addendum
- Voluntary Board Member Affidavit
- Affidavit of Compliance with Background Screening Requirements
Background Screening:
Level 2 Background Screening must be completed for the laboratory director and the chief financial officer prior to approving the initial application and then repeated every five years. Please go to the background screening section of this web site for additional documentation that must be submitted with your application. Fingerprint cards are available by contacting the Laboratory Unit at 850-487-3109. Other fingerprint cards may not be acceptable.
Annual Affidavit of Background Screening Compliance
Each non - waived laboratory is required by section 435.04(05), Florida Statutes(2006) to submit an affidavit of compliance with this section. A recommended form is available at this the link below.
Director’s Qualifications
Director qualifications must be submitted for all physician and non - physician laboratory directors.
The State of Florida requirements for laboratory directors can be found at the
Florida Administrative Code (See Chapter 59A-7 for Clinical Laboratory Rules) website:
http://www.flrules.org/gateway/ChapterHome.asp?Chapter=59A-7
CLIA requirements for directors of moderate complexity testing are at the following link: http://www.phppo.cdc.gov/clia/regs/subpart_m.aspx#493.1405,
CLIA requirements for directors of high complexity testing the requirements are at this link: http://www.phppo.cdc.gov/clia/regs/subpart_m.aspx#493.1443.
