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How to Become a Phlebotomist in Washington (2026 Guide)

Becoming a phlebotomist in Washingtonrequires a national certification exam (NHA CPT) that's the same everywhere in the country. Washington is one of only 4 states that also requires a separate state license — the Medical Assistant-Phlebotomist (MA-P) credential. Average pay is $23.5/hr.

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Washington Phlebotomy — At a Glance

~$117
NHA exam fee
390/500
Passing score
Yes
State license required
$23.5/hr
Avg pay
Washington licensing board →

How to Become a Phlebotomist in Washington: Step by Step

  1. 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. 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. 3
    Complete the Medical Assistant-Phlebotomist (MA-P) credential
    Issued by the Washington State Department of Health. Three qualifying pathways: accredited training program, recognized national certification (NHA, ASCP, AMT, or NCCT), or practitioner-supervised training. National certification alone does not authorize phlebotomy work — the MA-P credential itself must be issued. Renewal: Every 2 years, no CE required.
  4. 4
    Apply for your first phlebotomy position
    With your NHA certification and Medical Assistant-Phlebotomist (MA-P) credential 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 Washington is $23.5/hr.

Washington's State Licensure Requirement

Issued by the Washington State Department of Health. Three qualifying pathways: accredited training program, recognized national certification (NHA, ASCP, AMT, or NCCT), or practitioner-supervised training. National certification alone does not authorize phlebotomy work — the MA-P credential itself must be issued.

Phlebotomist Salary in Washington

Full salary breakdown →
$23.5/hr
Average hourly
$49K
Average annual
+2.45/hr
vs national avg

Frequently Asked Questions

How do I become a phlebotomist in Washington?
Complete a training program or supervised work experience (documenting 30 venipunctures and 10 capillary sticks), then pass the national NHA CPT exam. Washington also requires the Medical Assistant-Phlebotomist (MA-P) credential.
Does Washington require a separate phlebotomy license?
Yes — Washington is one of only 4 states that does.
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.

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