LES 04 EA: Modification of Certification for Microbiology Laboratory

These forms are for certified laboratories in Massachusetts that want to add certification for extra analyte testing. The Supplemental Form section must be completed for additional certification.
Timelines on approvals will vary depending on when the application is received by the Department.

MassDEP - William Wall Experiment Station

Phone

Fax: 978-688-0352 | Hours: M-F 8:45am - 5pm except State Holidays

Fax: 978-688-0352 | Hours: M-F 8:45am - 5pm except State Holidays

The Details

What you need

Anyone (private corporation, individual, partnership or association, or other entity) who intends to conduct tests for MassDEP must apply for certification from the Department.

What is needed to apply:

  • Results of Proficiency Tests (PTs) submitted by the laboratory's PT provider in accordance with the current Wall Experiment Station PT policy,
  • A Laboratory Quality Assurance Plan,
  • A transmittal form and number for the Permit Application & payment, and
  • A completed and accurate MassDEP application form for the appropriate permit category.

All additional information that is identified in the Application Completeness checklist (included in the application package) must also be submitted in order for the application to be processed properly.

How to change

Please return the completed application forms to:

Director, Laboratory Certification Program
Massachusetts Department of Environmental Protection
Wall Experiment Station
37 Shattuck Street
Lawrence, MA 01843

You must complete the Supplemental Form that will add additional areas of certification.

Payments should be made only by check payable to the Commonwealth of Massachusetts. Include a copy of the transmittal form with payment and send to the following address:

Massachusetts Department of Environmental Protection
P.O. Box 4062
Boston, MA 02211

Next steps

  1. Review the instructions

    Guidance on how to prepare your application, including an application completeness checklist.

  2. Complete the application form

    The application can be filled out and saved to print for delivery.

  3. Obtain a Transmittal Form and Number

    A unique Transmittal Number is needed for each application you submit to MassDEP. You will be redirected to the classic site to get the number.

  4. Look up the permit application fees

  5. Mail your application and fee payment

    Please return the completed application forms to:

    Director, Laboratory Certification Program
    Massachusetts Department of Environmental Protection
    Wall Experiment Station
    37 Shattuck Street
    Lawrence, MA 01843

    Payments should be made only by check payable to the Commonwealth of Massachusetts. Include a copy of the transmittal form with payment and send to the following address:

    Massachusetts Department of Environmental Protection
    P.O. Box 4062
    Boston, MA 02211

Contact

Address
Wall Experiment Station
37 Shattuck St, Lawrence, MA 01843
Phone

Fax: 978-688-0352 | Hours: M-F 8:45am - 5pm except State Holidays

Fax: 978-688-0352 | Hours: M-F 8:45am - 5pm except State Holidays

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