This Participation Request Webpage is ONLY FOR NEW LABORATORIES asking to join the Newborn Screening Quality Assurance Program (NSQAP).

- Do not use this form if you are a current participant with an NSQAP Lab Code Number. Your request will be denied.
- Refer to FAQs to add programs if you are a current participant FAQ.
- Complete ALL sections. All requests for participation are reviewed and are not guaranteed.
- Refer to the FAQs for more information
- For questions, email NSQAPDMT@cdc.gov

Are you a current participant in NSQAP or have you received materials from NSQAP in the past year?

GENERAL INFORMATION

Schedule (International)

Registration Deadline is October 31.

Schedule (Domestic)

Registration Deadline is August 31.

LABORATORY AND SHIPPING INFORMATION

Provide physical street address. FedEx will not deliver to PO Boxes
Use only English alphabet A-Z, a-z and 0-9. Max entry length 35 characters.

Shipping

Shipping Address: (if different from laboratory address)

Tax ID Number

Any documents, import permits, fees, taxes, or other costs required by your country for release of your package from Customs are your responsibility. If Tax ID Number is not required to receive FedEx shipment, enter N/A

PROGRAM SELECTION

Proficiency Testing Programs

Quality Control Testing Materials

Second-Tier Quality Control Testing Programs - Enrollment not guaranteed and will be subject to review