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As a current PCT, I know that hospitals will not even look at your resume unless you have already passed the state cert. However, many LTC facilities will hire you if you will pass your states within 3 months.
I worked as a PCT in ED for years and wasn't a CNA, but I was an EMT and had a separate phlebotomy certificate so I think you have to have completed some sort of certification/licensing. It definitely seems to vary by location though.