Medical waste rules in Arizona

Arizona regulates biohazardous medical waste through the Department of Environmental Quality (ADEQ) under Arizona Administrative Code R18-13-1401 to 1420, with transporters licensed by the state. The rules are notable for allowing up to 90 days of on-site storage when the waste is kept cold.

  • Generator duties (R18-13-1406): package the waste to the rule's standards, then either self-haul it or store it on site and set it out for a licensed transporter. A tracking document accompanies each shipment with the names and addresses of the generator, transporter and treatment or disposal facility, the quantity by weight, volume or container count, DOT identification numbers and the collection date; the generator keeps its copy for the period 49 CFR 172.201 requires.
  • Containers (R18-13-1407): rigid, puncture-resistant and leak-proof on the sides and bottom, labeled with the universal biohazard symbol, with a fill line and a secure lid for transport.
  • Storage (R18-13-1408): putrescible waste may sit unrefrigerated for up to 72 hours if it causes no odor beyond the property line and attracts no vermin; from hour 72 through day 90 it must be refrigerated at 40°F or below. Non-putrescible waste may be held unrefrigerated for up to 90 days. Storage beyond 90 days needs a facility plan approval. Storage areas are secured, signed in English and Spanish, and protected from water, wind and animals.
  • Transport (R18-13-1409): transporters are licensed by ADEQ for five-year terms, use fully enclosed leak-proof cargo compartments, and deliver within the same 72-hour, 90-day refrigerated or 90-day non-putrescible windows.
  • Sharps and special categories (R18-13-1419, 1420): separate handling rules apply to sharps, chemotherapy waste, cultures and stocks, and animal waste.

Source: A.A.C. R18-13-1408, Storage (Arizona Administrative Code, Title 18, Chapter 13, Article 14).

Reviewed September 2026.

This summary is general information, not legal advice. Requirements change; we confirm what applies to your facility during onboarding.Regulations by state

Services in Arizona

  1. Regulated Medical Waste and Biohazard Waste DisposalScheduled or on-call pickup of regulated medical waste, also called biohazard or red bag waste, from healthcare facilities: compliant containers, permitted transport and a manifest for every collection.Red bag, cardboard box
  2. Sharps Waste DisposalSharps container supply, exchange and disposal for practices of every size, from a single dental office to a hospital network.Red sharps container
  3. Pharmaceutical Waste DisposalCompliant collection and disposal of expired, unused and partially used non-hazardous pharmaceuticals, with the right stream for each drug.Blue container
  4. Trace Chemotherapy Waste DisposalYellow-container collection for trace chemotherapy waste from oncology, infusion and specialty practices.Yellow container
  5. RCRA Hazardous Pharmaceutical WasteBlack-container programs for RCRA-listed and characteristic hazardous pharmaceutical waste, with generator-status guidance and cradle-to-grave documentation.Black container
  6. Pathological Waste DisposalDedicated, labeled collection for tissues, organs and surgical specimens from surgery centers, labs, dermatology practices and veterinary clinics.Red bag, pathology label

Facilities we serve in Arizona

All facility types

Arizona service questions

Do you serve every part of Arizona?

We coordinate service through a network of qualified providers, and coverage in Arizona is confirmed address by address. Tell us your address and operations confirms whether a route is available before anything is promised.

Which rules apply to medical waste in Arizona?

Medical waste is regulated at the state level, alongside the federal OSHA, DOT and EPA rules that apply everywhere. The summary above covers the Arizona requirements that most affect small and mid-size generators. See our regulations guide for the federal picture and links to every state.

What waste streams can you pick up in Arizona?

Regulated (biohazardous) medical waste, sharps, pharmaceutical waste, trace chemotherapy waste, RCRA hazardous pharmaceutical waste and pathological waste, subject to verification of each stream at onboarding.

We are under contract. Can we still talk?

Of course. Most facilities are. Share your renewal date and we will follow up before it, so you can compare options without being rushed.

Medical waste pickup in Arizona

Send us your facility list and current schedule. We reply with a clear quote and a start date operations has confirmed.