How to Become a CNA in Washington in 2026: Training, Costs, and Certification

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Washington's CNAs earn a mean annual wage of $49,960, making the state one of the higher-paying markets for this entry-level healthcare role. Becoming a Certified Nursing Assistant in Washington requires completing a state-approved training program of at least 108 hours and passing a competency exam administered by Credentia. The entire process can take four to eight weeks depending on the program format you choose.
Payment Plans
Several schools listed on Dreambound offer installment plans that break tuition into manageable monthly payments.
Military Benefits
Active-duty service members, veterans, and eligible spouses may use GI Bill benefits or MyCAA scholarships to cover CNA training costs.
If cost is your top concern, there are also ways to become a CNA for free through employer-sponsored programs and workforce development grants.
Renewing Your CNA Certification in Washington
Washington requires CNAs to renew their certification every year on or before their birthday. The annual renewal fee is $95.
The Washington DOH does not require continuing education hours to renew the CNA certification itself. This is a common point of confusion. If you work in a long-term care setting, separate regulations under WAC 388-112A-0612 require you to complete 12 hours of continuing education annually by your birthday. That requirement comes from the long-term care facility regulations, not from the DOH certification renewal process.
To renew, you must also verify that you have worked at least 200 hours as a nursing assistant during the previous year, or 400 hours during the previous two years.
CNA Career Paths and Advancement in Washington
A CNA certification is often the first step in a longer healthcare career. Many CNAs in Washington use their bedside experience as a foundation for higher-level roles.
Licensed Practical Nurse (LPN)
A common next step. LPN programs in Washington typically take 12 to 18 months and build directly on CNA knowledge. Learn more about how to become an LPN in Washington.
Registered Nurse (RN)
CNA experience provides strong clinical context for Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) programs. Washington employs over 62,000 RNs statewide, and the state's major health systems actively recruit from within their CNA workforce. RNs develop patient care plans, administer medications, and coordinate with physicians and specialists, with median annual pay well above $95,000 in Washington according to BLS data.
Specialized CNA Roles
With experience, you can pursue certifications as a Restorative Aide (focused on rehabilitative exercises) or a Medication Aide (assisting with medication distribution under nurse supervision). These roles carry additional responsibility and often come with a pay increase.
Healthcare Administration or Education
Some experienced CNAs transition into administrative or teaching roles. Washington's community colleges and vocational schools frequently hire former CNAs as clinical instructors for the next generation of training programs, often requiring an advanced degree such as a Master of Science in Nursing.
Frequently Asked Questions
How long does it take to become a CNA in Washington?
Most CNA training programs in Washington can be completed in four to eight weeks. The state requires a minimum of 108 training hours (increasing to 138 hours for students graduating after September 1, 2025), and you will need additional time to schedule and pass the NNAAP competency exam.
How much does the CNA certification exam cost in Washington?
The total initial fee for the NNAAP exam is $155. That breaks down to $55 for the written or oral knowledge test and $100 for the skills evaluation.
Do I need continuing education to renew my CNA certification in Washington?
The Washington DOH does not require continuing education for CNA certification renewal. If you work in a long-term care facility, separate state regulations require 12 hours of continuing education annually. Renewal itself costs $95 per year and is due on your birthday.
Can I transfer my CNA certification to Washington from another state?
Yes. Washington calls this process endorsement. You must apply through the DOH, provide verification that your out-of-state training met Washington's minimum hour requirements, confirm good standing on your current state's nurse aide registry, pass a background check, and submit official exam results and credential verifications.
What is the average CNA salary in Washington?
CNAs in Washington earn a mean annual wage of $49,960, or about $24.02 per hour, according to May 2024 BLS data. Washington ranks among the higher-paying states for CNAs nationally. Browse CNA training programs on Dreambound to start your path toward this career.
Becoming a CNA in Washington
Washington offers a clear path to CNA certification with competitive pay and steady demand fueled by the state's aging population and expanding healthcare system. The 138-hour training requirement taking effect in 2025 reflects the state's commitment to producing well-prepared nursing assistants, and the $49,960 average salary rewards that preparation. Whether you are entering healthcare for the first time or building toward an LPN or RN career, starting as a CNA in Washington gives you direct patient care experience that strengthens every step that follows.
Start your CNA training in Washington today by comparing accredited programs on Dreambound.



