Laboratory Accreditation Application

Symbolizing quality and professionalism...

Please fill out the form below to apply for laboratory accreditation with the NBIH. Once submitted, your application for accreditation will be reviewed. If initial approval is made, your credit card will be charged for the application fee and you'll be sent further information on completing your accreditation via e-mail. We will make an attempt via email and, if no response has been had, once via letter mail to reach you regarding completing accreditation. You are not considered accredited until this process is completed successfully with positive results.

For Accreditation pricing information, please email contact@nbih.org

 
1

Enter Laboratory Information

Laboratory Name

Business Name (if different than laboratory)

Authorized Representative Salutation

Authorized Representative First Name

Authorized Representative Middle Name (if applicable)

Authorized Representative Last Name

Authorized Representative Professional Title

Primary Telephone Number

Cell/Other Phone Number

Fax Number

Email Address

Website Address (www.lab.com)

Services Offered (check all that apply)
Microbiology
Industrial Hygiene
Chemical Analysis
Other (Describe):

Laboratory Type:

Description of Laboratory SOPs/Protocols for Primary Service(s)

 
2

Enter Physical Location

Physical Address

City

State/Province

Zip/Postal Code

Country

 
3

Enter Business Qualifications

Please enter the achievements of your business or organization below.

Business License # (if applicable):

Laboratory ID # (if applicable):

Additional Licensing/Certifications

Additional #1 - Type

Additional #1 - Description

Additional #2 - Type

Additional #2 - Description

 
4

Enter Billing Information

We accept Visa, Mastercard and American Express. We do not accept POs, checks, or invoices to be paid at a later date.

First Name

Last Name

Card Number

Type
 Card Types

Expiration
 

CVV
 cvv

Billing Address

City

State/Province

Zip/Postal Code

Country

Billing Phone Number

 
5

Confirm Accreditation Application

Your accreditation fee is $999.00 annually.

By submitting this application, I endorse the validity of the information provided. If approved for accreditation, I agree to follow and be in compliance with NBIH accreditation outline as well as NBIH required Code of Conduct and Ethical Principles. I understand that accreditation is non-transferable and that accreditation fees are non-refundable.

Accreditation with the National Board of Industrial Hygiene is annual.

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If you have any questions please email support@nbih.org.

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