X-ray Program

Lea Anna Perlas, Director X-Ray Program

Office: (804) 864-8170

Fax: (804) 864-8175

Email: Lea.Perlas@vdh.virginia.gov

“To protect the public and occupational workers against unnecessary radiation exposure from X-ray producing machines.”

Program Overview

The X-Ray Registration, Inspection and Certification Program exists to assure quality radiographs with a safe x-ray facility environment for both the people of Virginia and the operators of the equipment. The X-ray Program registers approximately 17,000 radiation-producing machines (such as x-ray machines); sets performance criteria for them; and authorizes non-department qualified private inspectors to perform the evaluations and non-department service companies to install and repair the machines.  We also maintain a private inspector list which can be viewed by clicking:   Qualified Private Inspectors-September 2018

Machines must be inspected within the frequency specified in X-ray regulations.  Frequency is based on the type of machine and modality (i.e., diagnostic, therapeutic, non-medical).  Any x-ray machine that is determined to be unsafe for human use is restricted from use until the x-ray machine is repaired by a service company, and re-inspected by a Virginia  Radiological Health Specialist , or permanently removed from service. These regional radiological health specialists audit and monitor private sector inspections and perform compliance inspections of x-ray facilities.

The X-ray Protection Program works very closely with the US Food and Drug Administration (FDA), which is responsible for regulating the manufacture and installation/assembly of X-ray diagnostic machines.  States regulate the use of X-ray machines in their respective state.  The more prominent joint programs are related to mammography (MQSA) and joint surveys for evaluating patient exposures (NEXT).

Credit Card Payments

A credit card payment system for X-ray Program fees has been instituted.  Registrants may pay their registration and inspection fee payments using this system using the following link: Credit Card Payment Site.

The system will ask for your Facility ID number:

  • The data entry field required 5 characters so please include zeros (0) before your ID number to ensure 5 characters are entered.
  • If you have any questions please contact us at 804-864-8150.

Recent News, Information and Regulatory Actions

January 18, 2018, Proposed Regulatory Action to Modify X-Ray and Radioactive Materials Fees: A proposal to update the X-ray and Radioactive Materials Program fees will be published on 02/05/2018 on the Regulatory Town Hall website (Volume: 34 Issue: 12).  A public comment forum will open on 2/5/2018 and remain open through 4/8/2018.  To review and/or comment on the proposal during that time, please visit http://townhall.virginia.gov, locate the State Board of Health section and find  12VAC 5-490.

June 5, 2016, Therapeutic Radiation Machine Regulations Updated: 12VAC5-481-3380 through 3453 became effective June 5, 2016.  Virginia’s Radiation Protection Regulations, Part XV, Therapeutic Radiation Machines have been updated to include a section on Electronic Brachytherapy.  These changes are provided on on the X-Ray Regulations page.

December 4, 2015: In November 16th Virginia Register of Regulations, a Notice of Intended Regulaoty Action (NOIRA) was published for 12VAC5-490 “Virginia Radiation Protection Regulations – Fee Schedule”. This NOIRA is for: (i) amending registration fees for equipment inspected every three years; (ii) adding three categories and associated fees for the registration of non-medical x-ray equipment, such as baggage, cabinet and analytical, and industrial x-ray equipment, and (iii) establish associated inspection frequencies. The comment period expires on December 16th. To access the Virginia Regulatory Town Hall webpage, use the following hyperlink: 12VAC5-490 NOIRA. If you have any questions please contact Stan Orchel at 804-864-8170 or Stan Orchel email.

August 27, 2015: ORH amended specific sections of our regulations related to x-ray and therapy equipment. The following sections were amended:

  • 12VAC5-481-10 : Definitions. Some definitions have been added, removed, or modified.
  • 12VAC5-290 : Registration of radiation machine facilities. A sentence has been added.
  • 12VAC5-340 : Private Inspector qualifications. A sentence has been added.
  • 12VAC5-350 : Assembler or transfer obligations. A sentence has been added.
  • 12VAC5-1580 thru 1657 : Part VI Use of Diagnostic X-rays in the Healing Arts. The entire section has been replaced.
  • 12VAC5-2110 : Area requirement. Inspection frequency was changed.
  • 12VAC5-3410 : Quality management program. Wording was inserted for misadministration and reportable event.

The following link provides a “pdf” version of the revised Part VI regulations: 8-27-15 12VAC5-481 Part VI Regulations


Office of Radiological Health | 109 Governor Street,  7th Floor | Richmond, VA  23219

Telephone (804) 864-8150 | X-ray Fax: (804) 864-8175