Phlebotomy Technician

All students must present immunization proof:

1. Hepatitis B vaccination: Provide documentation of completion of a series of three vaccinations AND • provide proof of immunity via blood titer **Students must start the 3-dose Hepatitis B process (complete at least one dose) before Practicum. Dose 2 is due one month after Dose 1, and Dose 3 is due 5 months after Dose 2.
2. Measles, mumps, and rubella (MMR) vaccination: Provide documentation of 2 vaccinations OR • provide proof of immunity via blood titer and lab results for both measles and mumps
3. Meningococcal vaccination: 1 dose 
4. Polio vaccination: Routine poliovirus vaccination of adults residing in the United States is not necessary. However: Recommended for adults who are known or suspected to be unvaccinated or incompletely vaccinated against polio should complete a primary vaccination series with inactivated polio vaccine (IPV). Available data do not indicate the need for more than a single lifetime booster dose with IPV for adults. 
5. Tetanus, diphtheria, and pertussis (Tdap) vaccination: Provide documentation of TDaP vaccination given within the last 10 years 
6. Varicella vaccination (VAR) (Chicken Pox): Provide documentation of 2 vaccinations OR • provide proof of immunity via blood titer
7. Tuberculosis Screening (TB): Provide documentation of a two-step tuberculosis test and negative results dated within the past year OR if you receive annual screening, provide documentation of one-step tests and negative results from each of the past three years OR provide documentation of a negative QuantiFERON TB Gold test OR provide documentation of a T-Spot test with negative IGRA. If a student has a positive response to any method of TB testing, further documentation of non-active status must be provided.
8. Influenza Vaccination: You are required to provide documentation of an influenza vaccination.  Most students receive this in September and October based on seasonal availability. Ask your healthcare professional for the availability of the vaccine.
9. COVID-19 Vaccines: The program must adhere to health requirements of the contracted clinical agencies. Effective Date of Recommendation* September 22, 2023. Vaccines: (Moderna, Pfizer-BioNTech)
10. Please use the form when visiting your healthcare provider: 
    Health record form

Recommendation for Physicals and Immunizations:

• LAMC Student Health Center- Please contact them for more information and making appointments!   
• WellnessMart - Contact them for details!   
• Foundation Laboratory 
  • Foundation Laboratory (Northridge - PSC 135)  
    • 17075 Devonshire Blvd. #104 Northridge, CA 91325 
    • Phone: (818) 360-7200 
  • Foundation Laboratory (Northridge - PSC 136)  
    • 18251 Roscoe Blvd. Northridge, CA 91324 
    • Phone: (818) 341-1405 
• Express Collections   [Drug Testing]​  
  • ​(Quest Diagnostics, Site Code: CC590):  
    • 8780 Van Nuys Blvd. Ste C, Panorama City, CA 91402 
    • Phone: (818) 891-2235

Instructions:  

Note: Per their underwriting guidelines, they cannot insure anyone under the age of 18. 

You can obtain malpractice insurance from HPSO

Live scan: Use this form and receive clearance before the orientation day: 

1. ORI: A1776

2. Authorized Applicant Type: EMPLOYEE 11105(B)(11) PC

3. Type of License/Certification/Permit: Phlebotomy Student 

   LA County Live Scan Form

High School Transcripts/diploma OR GED:

The transcripts (high school transcripts or GED (CDPH website on academic requirements) can be emailed to the admissions office directly, or the student may bring them in person (must be sealed). The GED is requested by the student through the GED agency and sent to the admissions office directly from the agency through email or mail.

Admissions & Records Office
13356 Eldridge Avenue
Sylmar, CA 91342

admissions@lamission.edu 

High school degrees earned outside the United States:

Please use the District Academic Senate Equivalency Committee for more information. 

FIT test:

1. Fit Test 
2. Under 'Pricing' & 'Packages' purchase the gold box ($74.00). This includes your OSHA health questionnaire & fit test. 
3. Enter coupon code "LAMC" and the total should come out to $55.50 (not including $3 for the mask that needs to be paid for in person)

Estimated program cost:

• Course Tuition: Free through VOC ED non-credit
• Blue LA Mission Scrubs: ~$50.00 per set from the LAMC bookstore.
• Name tag: $2.50
• National Health Association (NHA) exam: $125
• Phlebotomy NSO Liability Insurance: $30
• Phlebotomy Certification license through Laboratory Fields Services (LFS): $100
• FIT test (Isolation Mask fitness test): $75 (800) 210-0470
• Health Clearance: $85.00; based on individual health insurance plan. If done through Wellnessmart: $85.00 without Immunizations (the cost of immunizations vary). You can also obtain a physical exam through our student health center.
• Livescan background check: $65.00-75.00.
• Castle branch: $30 (site to submit your documents)
• Book: Will be provided in the classroom free of charge (free rental).

Note: The cost and fees above are only approximate numbers and may be subject to change. We recommend verifying the details with the appropriate organization or official websites for the most up-to-date information.

Los Angeles Mission College has partnered with Goodwill to support its students. To check for eligibility and apply, use the Goodwill flyer.

Do not complete until you are advised - after the orientation day.

Requirements for Olive View Hospital:

Once you are admitted and registered (you will be notified via email) and after the orientation day, follow the steps below immediately (onboarding could take up to 3 months):

1. Complete the application form for Olive View Hospital. Choose 2a instead of 1a-condition of assignment forms. 
   • Your Sponsor Facility is OLIVE VIEW-UCLA, the assignment division is Pathology, and the sponsor’s name is John Agaton. If you have any questions, please get in touch with Marita Mendoza at (747) 210-3591. Choose 3a under CONDITION OF ASSIGNMENT FORMS (Check One). Check the first box for SCOPE OF ASSIGNMENT (Check One).
2. After online approval, you will receive an email to contact OVMC -HR at (747) 210-3315 to schedule fingerprinting.  Please bring your photo ID (driver’s license, state ID, or passport) and professional license/certificate (if required for your position) as well as the Non-County Packet (#10) completed and printed.
3. While you are waiting for your live scan (#10) schedule and or clearance, you must start completing the E2 form (Non-county Health Screening Packet) (the link under #14; the second page shows E2 form; read the instructions carefully on page 4 before completing this form; pay attention to the section where you see "AND" or "OR").
   • If you mark declination on the E2 form, you must compete the related sections on K/K-NC Declination form, otherwise, ignore. You do not need to complete the rest of the pages. You can submit the certificate for the FIT testing section. FIT testing (will be on the mandatory orientation day, and gather all the required documents. The E2 form takes a long time to process and approve. Don't forget to sign the form! Also, on top of the form, under the job classification enter" phlebotomy student".

FIT Test:

Before the orientation day, you are required to complete your FIT test. Once you receive the FIT certificate, you are required to upload it immediately on the CastleBranch site as well. Please note that you have to register in advance for the FIT test:

1. Fit Test 
2. Under 'Pricing' & 'Packages' -> Purchase the gold box ($74.00). This includes your OSHA health questionnaire & fit test. 
3. Enter coupon code "lamc" >the total should come out to $55.50 (not including $3 for the mask that needs to be paid for in-person)

After live scan clearance, you will receive an email to send the E2 form, FIT test certificate, and all the documents (mostly immunizations) to the HR. The Allied Health office will provide you with the details. The documents must be scanned (not pictures) and emailed. 

"NOTE: If you don't pass the live scan clearance, you cannot participate in the program."

Pre-placement clearance: Once you have been cleared by Employee Health, badge will be ready within a week. You can enter the facility only if you have a badge.

You can now start the practicum course. Note: This process takes about 2-3 months. You will be dropped from the classes if you have not completed steps 1 and 2 by the orientation day.

Requirements for Training at Laboratory Corporation of America:

Requirements for Amicis Research Center:

In addition to the steps above, you are also required to download the Amicis Student Non-Disclosure Agreement Form complete, sign and submit.

How to Apply

Visit the LFS website to create an account and submit an application.

Apply *You will need to pay your application fee online.

California Department of Public Health

Laboratory Field Services - Phlebotomy Program
850 Marina Bay Parkway, Bldg. P 1st Floor
Richmond, CA 94804

1. Select the phlebotomy certificate type for which you are applying from the menu on the application website. - Select CPT I
2. A certificate of completion of a phlebotomy training program (issued by LAMC), the California Statement of Phlebotomy Practical Training (provided by LAMC/Attestation form), the Letter of Phlebotomy Experience for California Certification, and copy of national certification (NHA Exam result) must be uploaded during the online application process. 
3. (LAMC) Transcripts must be original documents bearing the school, college, or university registrar’s seal, sent directly to LFS from the office of the school, college, or university registrar. Request to have your transcripts mailed to:

Laboratory Field Services - Phlebotomy Program
850 Marina Bay Parkway, Bldg. P 1st Floor
Richmond, CA 94804

*Incomplete application packages may be considered abandoned. All applicants whose applications have been abandoned who wish to re-apply must pay a new non-refundable application fee.

Do​​cuments you may need for your application

• Official transcript (LAMC)

• NACES or AICE evaluation

• Certificate of completion from an approved phlebotomy training program. Issued by LAMC

• Verification of practical training experience (California Statement of Phlebotomy Practical Training). Provided by LAMC

• Verification of on-the-job experience (Letter of Phlebotomy Experience for California Certification) signed by the CLIA laboratory director.

• Verification of national certification examination (NHA exam results)

For additional information you may contact LFSphlebotomy@cdph.ca.gov.