Phlebotomy Licensing Requirements by State (2025)

Phlebotomy—the process of drawing blood for medical tests, donations, research, or transfusions—is a critical component of health care. Despite its importance, the requirements for becoming a phlebotomist vary widely depending on where you live. Some states require formal licensure or certification, while others do not.

This comprehensive, state-by-state guide can help you understand what is required to practice phlebotomy in your area. However, because regulations can change, always verify the latest information with your state’s health department or professional licensing board before starting your training or seeking employment.

Why Requirements Vary

• Licensure: Some states regulate phlebotomists through a formal license.
• Certification: Even if a state does not require a license, many employers prefer or require certification as a demonstration of your skill and professionalism. Common certification agencies include the American Society for Clinical Pathology (ASCP), the National Center for Competency Testing (NCCT), the American Medical Technologists (AMT), and the National Phlebotomy Association (NPA).

Four States Require Special State Certification

While most U.S. states don't mandate specific licensing for phlebotomists, four states—California, Louisiana, Nevada, and Washington—require state-specific certification or licensure. In all other states, while certification isn't legally required, many employers prefer or require national certification through organizations like the National Healthcareer Association (NHA) or American Society for Clinical Pathology (ASCP).

Here are detailed requirements for the four states that most strictly regulate phlebotomy practice: California, Louisiana, Nevada, and Washington. While other states may recommend certification or defer to employer requirements, these states mandate specific licensing or certification for all practicing phlebotomists.

California

Overview: California maintains one of the most structured phlebotomy certification systems in the country.

• Requirement: High school diploma or GED, plus completion of an approved phlebotomy training program.
• Licensure/Certification: Required. California has three levels of phlebotomy certification:
  • Limited Phlebotomy Technician (LPT) (skin puncture only)
  • Certified Phlebotomy Technician I (CPT I) (venipuncture, skin puncture, and arterial puncture)
  • Certified Phlebotomy Technician II (CPT II) (advanced techniques including blood cultures)
• Key Points:
  • You must provide documentation of academic coursework and clinical training or work experience.
  • On-the-job experience is accepted only if it involved blood collection for testing purposes.
  • A national certification exam is also required.

Louisiana

Overview: Louisiana requires state licensure through the Louisiana State Board of Medical Examiners (LSBME).

• Licensure/Certification: Applicants must submit:
  • A notarized oath or affirmation
  • Third-party authorization for the Louisiana State Board of Medical Examiners (LSBME) to gather information
  • Passport-quality photo (taken within six months)
  • Background check
  • Birth certificate or valid visa
  • Verification of other health care certifications/licenses
  • Complete an online education course and quiz

Nevada

Overview: Nevada classifies phlebotomists as laboratory assistants and requires state certification.

• Requirement: Nevada is one of the four states requiring licensure (they recognize phlebotomists as “lab assistants”).
• Licensure/Certification: Must complete lab certification training through the Nevada Division of Public and Behavioral Health.
• Key Points:
  • Blood bank experience can count as clinical experience.

Washington

Overview: Washington state certifies phlebotomists under the Medical Assistant-Phlebotomist (MA-P) designation.

• Requirement: Washington is one of the four states requiring state licensure or certification (recognized as a Medical Assistant-Phlebotomist).
• Licensure/Certification:
  • Must have a high school diploma or GED.
  • Complete formal training at a postsecondary accredited institution, through a licensed health care practitioner apprenticeship, or via the military.
  • Must complete a minimum of seven hours of AIDS training.
  • Provide a list of all states where you have applied for or held any phlebotomy credential.
  • Must attest to sound physical and mental health, no substance abuse history, no felony convictions, and no disciplinary actions or credential loss. (Positive statements require explanation.)

State-by-State Overview

Below is an alphabetical overview of each U.S. state (and the District of Columbia), including licensing or certification requirements and the relevant regulatory authority.

Source:

Tips for Aspiring Phlebotomists

1. Check Employer Expectations: Even in states without formal requirements, many health care facilities prefer certified candidates.
2. Accredited Training Programs: Look for programs accredited by organizations like the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS).
3. Consider National Certification: Obtaining certification from a recognized body (e.g., ASCP, NPA, NCCT, AMT) can give you a competitive edge.
4. Stay Current: Requirements can change. Always verify with your state health department or regulatory board.

Bottom Line

If you plan to become a phlebotomist—or relocate to another state as a practicing phlebotomist—make sure you understand the local requirements. While California, Louisiana, Nevada, and Washington explicitly require licensure or special certification, all phlebotomists can benefit from voluntary certification to increase job prospects and demonstrate professionalism.

Check with your state’s health department or the applicable professional licensing board for the most up-to-date requirements. Whether your state mandates certification or not, completing an accredited training program and obtaining certification typically improves your employability and earning potential, ensuring you’re equipped to provide high-quality care.