One professional. Two scopes. The CLXT designation is built for the realities of rural Canadian healthcare — and Select has been placing CLXTs in rural and northern health centres since 1999.
What Is a CLXT?
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A Combined Lab & X-Ray Technologist (CLXT) holds dual qualifications — MLT certification through CSMLS and X-Ray (RTR) certification through CAMRT — allowing them to perform both medical laboratory work and diagnostic imaging within a single role.
This dual scope exists to address a practical reality: in rural and northern Canadian health facilities, patient volumes often can't justify separate full-time MLT and XRT positions. The CLXT fills both roles, making comprehensive diagnostic coverage possible in communities that wouldn't otherwise have it.
Select has been matching CLXTs with rural and northern travel contracts since 1999. We understand the dual-scope requirements of this role and the communities that depend on it.
Where CLXTs Work — Western Canada & Beyond
The CLXT designation is primarily recognized and utilized in Alberta, Saskatchewan, and Manitoba — the provinces with the longest history of training and regulating the combined role. Northern BC and Manitoba also have demand in Indigenous health posts and remote community clinics.
Rural Alberta: The primary CLXT market — small and mid-size hospitals, health centres, and community clinics across the province
Saskatchewan: Strong rural demand — community hospitals and northern health centres
Manitoba: Rural and northern placements including Indigenous community health
Northern BC: Remote community clinics and Indigenous health posts
Urban CLXT placements exist but are less common — the primary travel market for CLXTs is rural and northern.
A Note on Provincial Recognition
Not all provinces formally recognize the CLXT designation. In BC and Ontario, facilities may hire MLTs and XRTs separately rather than seeking a combined CLXT. Select works with both formally CLXT-designated candidates and those with equivalent dual credentials in provinces where the combined designation is not formalized.
Is the CLXT designation recognized across all Canadian provinces?
No — the CLXT designation is primarily recognized in Alberta, Saskatchewan, and Manitoba. Other provinces may hire MLTs and XRTs separately rather than seeking a combined CLXT. Select works with CLXT-designated candidates and those with equivalent dual credentials across Canada.
Can I work as a CLXT in provinces that don't formally recognize the combined designation?
In many cases, yes — if you hold both CSMLS and CAMRT (RTR) certification, you may qualify for roles that effectively require dual scope even if the CLXT title isn't formally used. Contact Select to discuss your credentials and available contracts in your target province.
What's the difference between a CLXT role and separate MLT/XRT roles?
A CLXT performs both laboratory and diagnostic imaging work within a single position. Separate MLT and XRT roles focus on one scope only. In rural settings, the CLXT role is designed to provide comprehensive diagnostic coverage in facilities that can't support two separate full-time positions.
Are CLXT contracts primarily rural and remote?
Yes — the vast majority of CLXT travel contracts are in rural and northern settings. Urban facilities generally hire MLTs and XRTs separately. Rural and northern CLXT contracts are in highest demand and often carry competitive compensation.
Do I need both CSMLS and CAMRT certification to qualify for CLXT contracts?
Yes. Active certification in both CSMLS (MLT scope) and CAMRT RTR stream (X-Ray scope) is required for CLXT travel contracts through Select. Single-scope candidates should view our MLT or XRT pages for relevant contracts.
