Facility Name Address Phone_____ - Nevada State Health Division
Facility Name Address Phone_____ - Nevada State Health Division
Facility Name Address Phone_____ - Nevada State Health Division
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EXEMPT LABORATORY ATTESTATION FORM<br />
TAG REGULATION TEXT Y N N/A Comments<br />
(a) Has been classified as a waived test pursuant to 42<br />
C.F.R. Part 493, Subpart A; or<br />
(b) Is a provider-performed microscopy categorized<br />
pursuant to 42 C.F.R. § 493.19.<br />
This provision applies PA’s and APN’s.<br />
PA’s and APN’s can perform waived or PPM testing without obtaining any<br />
additional personnel license from the <strong>State</strong>, although good laboratory practice<br />
must be followed.<br />
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