- ALS certification requires passing two separate 70-question, 90-minute exams: Basic Knowledge and Andrology.
- Basic Knowledge must be taken at your first sitting; a 60% score is required on each exam.
- Same-day testing with an AAB proctor totals $320, plus a $115 initial application fee.
- ALS-P(AAB) provisional status exists for candidates who finish education requirements before clinical training.
What Is ALS Certification?
ALS Certification stands for Andrology Laboratory Scientist, a credential recognizing the specialized knowledge required to work in andrology laboratories - facilities focused on male reproductive health testing, semen analysis, fertility diagnostics, and related clinical laboratory functions. Unlike broader clinical laboratory credentials, ALS is narrowly scoped to andrology-specific competencies, which is exactly why the exam content and eligibility pathways differ from generalist lab certifications.
If you're just starting to research this credential, it helps to first understand what ALS is at a foundational level, or review the ALS meaning and what ALS stands for before diving into exam mechanics. This article assumes you already know the credential exists and want the operational details: how the exam works, what it costs, who's eligible, and how to prepare.
Who Administers ALS(AAB)
The AAB Board of Registry (ABOR) is the certifying body responsible for administering ALS(AAB). ABOR sets the eligibility criteria, develops the written examinations, collects fees, and manages the annual renewal process. Because ABOR is the sole authority over this credential, every procedural detail - from exam format to renewal deadlines - flows directly from their published requirements rather than from generic clinical lab certification norms.
Exam Structure and Domains
Certification requires passing two distinct written multiple-choice examinations, each covering a defined content area. For a deep breakdown of what's tested inside each one, see the ALS Exam Domains Guide.
Domain 1: Basic Knowledge Examination
This exam covers foundational clinical laboratory science concepts that underpin andrology-specific work. It must be taken at your first sitting - you cannot defer it or attempt the Andrology exam alone first.
- 70 questions, 90 minutes
- Multiple-choice format
- Calculators and outside notes prohibited
- 60% required to pass
Domain 2: Andrology Examination
This exam focuses on the specialized andrology laboratory content - semen analysis procedures, fertility-related testing, and the clinical judgment specific to high-complexity andrology work.
- 70 questions, 90 minutes
- Multiple-choice format
- Same no-calculator, no-notes policy as Basic Knowledge
- 60% required to pass
Both exams share the same format constraints and passing threshold, which simplifies your prep logistics but doesn't reduce the content load - you're mastering two separate knowledge domains, not one exam split into halves. For a candid assessment of how demanding this really is, read How Hard Is the ALS Exam? For the exact scoring mechanics, see the dedicated breakdown at ALS Passing Score 2026.
Key Takeaway
Because Basic Knowledge must be attempted first, structure your study calendar so that foundational clinical laboratory concepts are solid before you shift focus to andrology-specific material.
Eligibility Routes and Provisional Status
Eligibility for ALS(AAB) is available through four distinct education routes. Regardless of which route you qualify under, you also need one of the following:
- Completion of an approved clinical laboratory training program, or
- At least three months of full-time high-complexity andrology laboratory training or experience within the preceding 10 years
This dual requirement - education plus hands-on training - means eligibility planning often takes longer than exam preparation itself. If your education requirement is satisfied before your training requirement, ABOR offers a bridge: you can earn ALS-P(AAB) provisional status while you complete the remaining clinical experience. This lets candidates begin working toward full certification without waiting on training hours to accumulate first.
Because the four education pathways involve different combinations of degrees, coursework, and prior certifications, it's worth mapping your specific situation against the requirements before registering. The full pathway breakdown is covered in ALS Requirements 2026.
Fees, Registration, and Renewal
Cost is one of the most commonly misunderstood parts of the ALS certification process, largely because candidates confuse application fees with exam fees with proctor fees. Here's how the current structure breaks down:
| Fee Item | Amount |
|---|---|
| Initial certification application | $115 |
| First discipline examination | $105 |
| Second examination (same day) | $65 |
| AAB proctor fee | $35 |
| Same-day total (both exams, AAB proctor) | $320 |
| Annual renewal | $115 |
That $320 figure assumes you're taking both the Basic Knowledge and Andrology examinations on the same day with an AAB-provided proctor. If you test through a college or university proctor instead, that fee is paid separately and directly to the institution rather than to ABOR. For the complete pricing walkthrough, including how these numbers stack up over multiple renewal cycles, see ALS Certification Cost 2026.
Renewal is straightforward: $115 annually, with no continuing-education requirement attached. That said, don't let renewal lapse for too long - if a certification file goes unrenewed for three years, it closes, meaning you'd need to re-establish eligibility rather than simply catching up on back fees.
Key Takeaway
Budget for $320 on exam day if testing both disciplines with an AAB proctor, plus the $115 application fee submitted beforehand - and mark renewal dates so your file never approaches the three-year closure point.
Who Hires ALS-Certified Professionals
Andrology laboratories sit at the intersection of clinical pathology and reproductive medicine, so ALS-certified professionals typically find roles in:
- Fertility clinics and reproductive endocrinology practices running semen analysis and sperm function testing
- Hospital-based clinical laboratories with high-complexity andrology testing sections
- Independent reference laboratories offering andrology testing services to outside providers
- Academic and research laboratories affiliated with reproductive biology programs
Because andrology testing is classified as high-complexity laboratory work in many settings, employers often specifically seek candidates who hold or are working toward ALS(AAB) certification - it signals verified competency beyond general medical laboratory training. If you're evaluating career paths, ALS Jobs covers the kinds of positions that typically require or prefer this credential, and ALS Salary Guide 2026 discusses compensation considerations without relying on invented figures. For a broader ROI perspective weighing the certification's cost against career benefits, see Is the ALS Certification Worth It?
Building a Study Approach Around the Two Exams
Because Basic Knowledge must be completed first and both exams carry the same 60% passing threshold, your preparation timeline should treat them as sequential milestones rather than parallel tracks. A reasonable structure allocates early weeks to foundational clinical laboratory science, then transitions into andrology-specific depth as your test date approaches.
Basic Knowledge Foundations
- Review core clinical laboratory science principles tested in Domain 1
- Take timed practice sets under 90-minute constraints, without a calculator, to build pacing awareness
Andrology-Specific Content
- Shift focus to Domain 2 topics: semen analysis procedures, fertility testing methodology, and related clinical protocols
- Cross-reference weak areas against the domain breakdown in the exam domains guide
Same-Day Exam Simulation
- Practice back-to-back 90-minute sessions to simulate testing both exams in one sitting
- Confirm registration, proctor arrangements, and fee payments are finalized ahead of exam day
Since neither exam permits calculators or outside notes, memorization and applied reasoning matter more than formula lookups - plan review sessions accordingly rather than relying on reference-sheet strategies that won't be available during the actual test. A structured, ALS-specific walkthrough of this entire process is available in the ALS Study Guide 2026, and if you want a fast pre-exam refresher, the ALS Cheat Sheet 2026 condenses must-know facts into a single page.
Before locking in a study schedule, check current testing windows on ALS Exam Dates 2026 so your timeline lines up with an actual registration deadline rather than an arbitrary target date.
For hands-on practice questions modeled on the actual format and timing constraints of both exams, you can work through timed drills on our practice test platform. Reviewing your ALS Pass Rate data and comparing it against your own practice scores on the main practice site can help you gauge readiness more objectively than self-assessment alone.
Frequently Asked Questions
Same-day testing is common and reflected in the $320 combined fee structure, but the core requirement is that Basic Knowledge must be taken at your first sitting. Check current scheduling policies with ABOR for specifics on splitting sessions.
You need 60% on both the Basic Knowledge Examination and the Andrology Examination. Each exam is scored independently, and both must meet the threshold - passing one does not offset a lower score on the other.
It's a status available to candidates who complete their education eligibility requirement before finishing the required clinical training or experience, allowing them to move forward toward full ALS(AAB) certification while training hours are completed.
Renewal is $115 annually with no continuing-education requirement from ABOR. However, if you don't renew for three consecutive years, your certification file closes permanently.
No. Calculators and outside notes are prohibited on both the Basic Knowledge Examination and the Andrology Examination, so all calculations must be performed without external aids.