How much does it cost to become a phlebotomist in North Carolina?

The NHA CPT exam fee is commonly reported around $117 (verify current pricing at nhanow.com). Training program costs vary by school.

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How to Become a Phlebotomist in North Carolina (2026 Guide)

Q: Does North Carolina require a separate phlebotomy license?

No. North Carolina does not require a separate state phlebotomy license. NHA CPT certification alone is generally sufficient, though individual employers may have their own preferences.

Q: What happens if I fail the NHA CPT exam?

NHA requires a 30-day wait before your 2nd attempt and another 30-day wait before your 3rd attempt. After a 3rd failed attempt, you must wait 1 year before retaking. This policy is set nationally by NHA and does not vary by state.

Becoming a phlebotomist in North Carolinarequires a national certification exam (NHA CPT) that's the same everywhere in the country. North Carolina has no separate state license requirement — national certification is generally sufficient. Average pay is $20.83/hr.

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North Carolina Phlebotomy — At a Glance

~$117

NHA exam fee

390/500

Passing score

State license required

$20.83/hr

Avg pay

How to Become a Phlebotomist in North Carolina: Step by Step

1
Meet NHA CPT eligibility
Complete a phlebotomy training program within the last 5 years, OR complete 1-2 years of supervised phlebotomy work experience. Either way, you must document at least 30 successful venipunctures and 10 successful capillary sticks performed under supervision.
2
Pass the national NHA CPT exam
120 multiple-choice questions (100 scored, 20 unscored pretest), 2-hour time limit, passing score of 390 out of 500 (scaled). The fee is commonly reported around $117 — verify current pricing at nhanow.com. This exam and its content are identical in every state.
3
Check North Carolina's licensing requirement
North Carolina does not require a separate phlebotomy license — your NHA CPT certification is generally sufficient to work legally in the state. Some employers may still have their own hiring preferences.
4
Apply for your first phlebotomy position
With your NHA certification in hand, you can apply to hospitals, reference labs (Quest Diagnostics, Labcorp), blood donation centers (American Red Cross), and outpatient draw stations. Average pay in North Carolina is $20.83/hr.

State Licensure in North Carolina

North Carolina is one of 47 states (46 states + D.C.) that does not require phlebotomists to hold a separate state license. Only California, Louisiana, Nevada, and Washington require one. In North Carolina, passing the national NHA CPT exam is generally all you need to legally work as a phlebotomist.

Phlebotomist Salary in North Carolina

Full salary breakdown →

$20.83/hr

Average hourly

$43K

Average annual

-0.22/hr

vs national avg

Frequently Asked Questions

How do I become a phlebotomist in North Carolina?

Complete a training program or supervised work experience (documenting 30 venipunctures and 10 capillary sticks), then pass the national NHA CPT exam. No separate state license is required in North Carolina.

Does North Carolina require a separate phlebotomy license?

No — NHA certification alone is generally sufficient in North Carolina.

What happens if I fail the NHA CPT exam?

NHA requires a 30-day wait before your 2nd and 3rd attempts, then a 1-year wait after a 3rd failure. This is the same nationwide.