In this project, it was shown that multilateral cooperation projects in the field of metrology can be successful and that using proficiency testing to not only measure the improvement and the impact associated with the project, but also to ensure the maintenance of project benefits like the continuous control of measurement quality is important. Bethesda, MD 20894, Web Policies MeSH Each PT scheme across the UK, Europe and the US will have its own instructions and way of handling the data collected from participants. The history and origins of proficiency testing of clinical laboratories are reviewed. sharing sensitive information, make sure youre on a federal For more information see our, Accreditations, Certifications and Qualifications. Controllabs Proficiency Testing keeps track of performance on results. and regulatory bodies. Experts in pathology and laboratory medicine develop our PT/EQA programs to give you confidence that your laboratory is providing reliable and accurate results. Quality control is designed to detect, reduce, and correct deficiencies in a laboratory's internal analytical process prior to the release of patient results.Quality control samples are special specimens inserted into the testing process and treated as if they were patient samples by being exposed to the same operating conditions. An official website of the United States government 1. 1992 Jul;38(7):1234-6; discussion 1245-50. Still to come in part 3 we will look into how to utilize your PT results to monitor for trends and shifts in your values. For Domestic and international PT customers: Refer to the CAPs COVID-19 Information page for updates. The rules: Performance Review: Laboratories must initiate and document a . Several ASTM International standards guide users in the quality assurance and quality control (QA/QC) practices for managing precision and bias within a testing laboratory (e.g., D6299, D6617, E882 and E1323). Discharge Monitoring Report-Quality Assurance. In addition, it has analytical indicators to achieve the goals of excellence in the test and facilitate decision making. Although registration with Anvisa does not apply to Controllab materials (RDC N 36/2015, Article 2, Sole Paragraph, I), GMP certification is open. The purpose of such a program is to evaluate the laboratory performance with regard to the testing quality of patient samples. Learn how ELSS, our portal to manage your laboratory improvement and other tools integrate with our PT programs. Arch Pathol Lab Med. The test items must have the quantity observed under the aspect of similarity with the matrix analyzed in the laboratory routine, similarity of the concentration range, levels or qualitative characteristics of the test in view of its homogeneity and stability and the quantity supplied is sufficient for the performance. Careers. We are a Proficiency test provider accredited by the German Accreditation Body (Deutsche Akkreditierungsstelle - DAkkS) according to DIN EN ISO/IEC 17043:2010-05. Additionally, Proficiency Testing builds trust with new clients by assuring them that you maintain a sound quality system that not only meets your needs, but theirs as well. These actions take place so that each one can compare their performance with the others, at the moment and over time. Successful participation in PHARMASSURE is recognised as a demonstration of . Lab proficiency testing is more than an internal quality control measure. Regional Measurement Assurance Program and conducts proficiency tests only in mass calibration, volume calibration and length (steel tapes and rules) calibration. To further maximize the value of CAP participation, utilize our free web-based Performance Analytics Dashboard. . Proficiency Testing (PT) or External Quality Assessment (EQA) is a program in which multiple specimens are periodically sent to a group of laboratories for analysis. Proficiency Testing with rounds at regular and continuous intervals, annual targets and multiple items with unknown results for analysis. 2 The CLIA regulations have often been compared to a three-legged stool, resting on requirements for personnel qualifications and two . In December 2002, the Calibration Laboratory was accredited by Inmetros General Coordination for Accreditation (CGCRE). The two-level GlycoMark Controls ("Low" and "High") are recommended. Validating new screening tests - making sure new tests produce accurate results before they are put into use. e-LAB Solutions Suite (ELSS) from Saturday, December 10, 8:00 AM (CT) to Sunday, December 11, 7:30 PM (CT). The demand for this service and other control tools exists because the variation of the results is inherent to the process, that is, the results will always have some random and systematic variation associated. From routine to esoteric, our programs help you deliver performance you can measure and accuracy you can trust. You get the support and guidance of experts who understand pathology and laboratory medicine. and regulatory bodies. Durante o processo, a Controllab inspecionada periodicamente (como correlata), pela Vigilncia Sanitria para verificao das boas prticas de fabricao. It provides independent evidence that the laboratory produces technically valid and reliable results. Proficiency Testing The NIST Office of Weights and Measures proficiency testing program is limited in scope to only those calibration laboratories who participate in our U.S. It provides an important comparison and objective assessment of your lab staff competencies, specimen handling, equipment . Proficiency Testing (PT)/External Quality Assessment (EQA) Programs Performance You Can Measure. Initially as part of a pilot project by Inmetro, this accreditation was based on ILAC G13: 2007 and included several clinical and hemotherapy tests. Desde ento, avaliada periodicamente para manuteno e/ou revalidao da certificao. Basic QC Practices QC - Proficiency Testing, EQC, and Peer Groups An introduction to proficiency testing, external quality assurance, and peer testing programs. Our programs are also continuously reviewed by our 30+ scientific committees and updated to address changes in practice. Quality control (QC) is one of the most important impacts on laboratory testingit ensures both precision and accuracy of patient sample results. Proficiency Testing Timing. . When you partner with the CAP for your PT/EQA needs, you get more than a shipment that arrives at your facility. Essa certificao relativa produo de produtos para sade para fins de controle de qualidade de laboratrios. Experts reinforce that vaccination is the greatest weapon against the disease, which can also be controlled with quick and accurate diagnoses In the last few weeks, Cases registered in the neighboring country show the importance of rapid and accurate diagnosis In September, the Argentine Ministry of Health identified an outbreak of bilateral, In December 2012, the Control Laboratory, responsible for the analysis of process control and quality control of the materials prepared by, We use cookies and other similar technologies to improve your experience, enabling a more personalized navigation, according to the characteristics and your interest. With over 40 years' experience, we have a proven history of customized products delivered with personal service. The https:// ensures that you are connecting to the CMS correctly noted that the overall proportion of labs with no test failures increased from about 88 percent in 1998 to about 93 percent in 2003that is, fewer labs failed proficiency testing. Experts in pathology and laboratory medicine develop our PT/EQA programs to give you confidence that your laboratory is providing reliable and accurate results. Proficiency Testing, also known as External Quality Control, is an effective quality control tool for determining the analytical performance of the laboratory and a necessary requirement for laboratory accreditation processes (ISO 15189, ISO 17025, PALC-SBPC/ML, DICQ-SBAC, etc.) American Proficiency Testing Institute (API . Fapas quality controls have an associated data sheet which provides the same data of assigned values and performance limits as in the proficiency test. Overall site scores for all 1994 proficiency testing challenges by testing group. Archives of Pathology & Laboratory Medicine, Browser and Operating System Requirements. Sign up to get the latest information about your choice of CMS topics. With this recognition, it became an integral part of the Brazilian network of accredited laboratories, under n214. 0. The download section below contains a list of the Clinical Laboratory Improvement Amendments (CLIA) approved proficiency testing (PT) programs for 2022 and a list of the non-waived testing for which PT is required. The range of assay designs, target regions, variants types and VAFs, library preparation approaches, sequencing platforms, and bioinformatics pipelines . Laboratory medicine is changing at a rapid pace. There are tests where the scarcity of raw material or low stability for making the item can make a quality control program unfeasible, requiring the use of other comparison and control techniques. Among the matrices included in the programs, are listed: serum, blood, urine, synovial and pleural fluids, liquor, sperm, fungi, feces, hair, water, food, etc. Cytology Proficiency Testing; Individualized Quality Control Plan (IQCP) Interpretive Guidelines for Laboratories; Laboratory Demographics Lookup; Laboratory Registry; . In October 2012, Controllab received the certification of Good Manufacturing Practices for health products, granted by Anvisa. For virtual items, this step is suppressed. Why do laboratories need external quality assessment? Before eAlerts provide need-to-know information about our laboratory improvement programs. It's why for the past 40 years we've been leading the direction of proficiency testing, bringing our technical expertise and influence to drive the future of quality assurance and accreditation. Along with requirements for personnel qualifications and quality control testing, proficiency testing (PT) is one of the central safeguards of laboratory quality under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) 1 and its regulations. 1992 Jul;38(7):1237-44; discussion 1245-50. These QC samples may be used for troubleshooting poor performance in the PT, training of new staff, method development or generating QC charts. Since then, it is periodically evaluated for the maintenance and/or extension of accreditation. Benefits of participating in the Proficiency Testing, In addition to demonstrating the reliability of analytical results, assisting in identifying failures and enabling corrective or preventive actions to be taken and fulfilling accreditation and regulatory requirements, the. The following production system and service will be unavailable during scheduled system maintenance and improvement. Annually, the laboratory receives the certificate of proficiency for the tests that obtained continuous participation and that reached the minimum level of performance. Accessibility Powered by a centralized SPC engine, ProFicient enables improved quality from the factory floor and across the enterprise. ISO Standard QUALITY CONTROL A comprehensive quality control (QC) program consist of all the means used by a laboratory to ensure the reliability of every assay performed on specimens arriving in the lab. Table 1.Percentage of Unsatisfactory Test Event Scores for Hospitals and Independent Laboratories and All Other Testing Sites by Analyte, Test, or Test Specialty From 1994 View LargeDownload Table 2.Odds Ratios of Unsatisfactory Proficiency Testing Event The dashboard provides a comprehensive view of all your CAP program resultsboth PT/EQA and accreditationto help you more effectively and efficiently benchmark performance and manage risk and compliance across departments, multiple sites, or within a network/system. In addition to statistical information, when necessary, considerations, bibliographic references and technical reports from. Crime laboratory proficiency testing results, 1978-1991, I: Identification and classification of physical evidence. It includes graphs (deviation Index and Z Index) and information about monitoring total and systematic error, estimating trends and data variation. (Ref. lock The Institute for Quality Management in Healthcare (IQMH) is Canada's largest provider of medical laboratory accreditation and proficiency testing. Controllab convida os profissionais para colaborar com informaes dessas rotinas e participar do aprimoramento do Ensaio de Proficincia A Hemoglobinria Paroxstica Noturna (HPN) uma doena. In September 2011, Controllab was accredited by Inmetros General Coordination for Accreditation (CGCRE) as a proficiency test provider, under n PEP0003. Note: PT Samples on Secondary Instruments/Methods . means youve safely connected to the .gov website. Maximize confidence in your test results with our new scientifically developed programs. More than just a test, CAP PT/EQA is an education. https:// The strength of the CAP PT/EQA programs really comes from the learning that accompanies the process. Disclaimer, National Library of Medicine Finally, the data collected by these programs give insight into the overall testing competency of the industry. Laboratories are expected to initiate warranted corrective actions in their quality system to correct any problems and to prevent Limited, . Laessig RH, Ehrmeyer SS, Lanphear BJ, Burmeister BJ, Hassemer DJ. Proficiency testing (PT) or interlaboratory comparison testing is a critical tool not only for ISO/IEC 17025 laboratories, but also for quality assurance and continuous improvement as it allows laboratories to validate their analytical performance of specific tests, measurements, or calibrations. Background FOIA News from the Institute for Quality Management in Healthcare. A web-based proficiency testing program that provides enhanced confidence for your hemostasis testing. After receiving the information, Controllab issues individual laboratory evaluation reports, global statistical reports with technical and market information and where relevant, technical considerations and reports of Controllabs scientific advisors. . Comprehensive and ongoing training of laboratory personnel ensure that laboratory technicians and management have the knowledge and skills necessary for laboratory analysis. Mix QC or Proficiency sample 8 - 10 times before sampling. PT is the practice of testing specimens of unknown values sent from an outside source three times a year. Heres how you know. Total. e-LAB Solutions Suite (ELSS) from Saturday, December 10, 8:00 AM (CT) to Sunday, December 11, 7:30 PM (CT). This practice of testing unknown specimens from an outside source provides an additional means to assure quality laboratory testing results. It is also used to determine state-of . Additionally, some programs include educational write-ups in the reports or free continuing education (CE) courses that can further enhance your staffs knowledge, competence, and performance. Would you like email updates of new search results? Dr. Anna Fichtner and transmitted securely. Dispense second drop onto parafilm square. Important laboratory documents include the Quality manual, SOPs, controlled documents, personnel files, Instrument files, equipment maintenance, calibration and verification, quality control, temperature and humidity logs, test tracking system, proficiency testing, and quality assessment. On-Line Store from Saturday, December 10, 8:00 AM (CT) to Sunday, December 11, 7:30 PM (CT). They are essential parts of quality management protocols followed by an organization. Publication types Historical Article MeSH terms Inicialmente dentro de um projeto piloto do Inmetro, esta acreditao baseou-se na ILAC G13: 2007 e incluiu diversos ensaios clnicos e de hemoterapia. Eqa-genotyping-v5-2019 . The Fapas food and beverage microbiology programme covers a wide range of pathogens, indicator organisms, and spoilage organisms in different real food matrices, which also contain representative background flora in order to provide as realistic a challenge to laboratories as possible, by closely mimicking a real-world food sample for analysis. Management information is dynamic and optimized, with indicators and graphs that facilitate the identification of the laboratorys analytical performance and provide an agile and objective analysis of the tests that need immediate action. Global Laboratory Proficiency Testing Market Size, Share & Industry Forecast 2020-2028 - The laboratory proficiency testing market was valued at USD 801.0 million in 2020 and is expected to grow at a CAGR of 6.3% over the forecast period from 2020 to 2028. The certificate of enrollment and the quality control seal are available after 3 months of participation in the program. REQUEST CONTACT This PT is yet another pioneering initiative by Controllab, a laboratory partner for quality control solutions. Participate in programs that elevate the skills of pathologists and technologists. and regulatory bodies. If Quality Solution is Then Daily QC Eurotrol - Levels Low, Normal and High. Quality Control Material Product Code Test Material Learn More; Wine Quality Indicators: FCOH5-DRA13QC: White Wine: Learn . The Molecular Diagnostic Committee (C-MD) will review below tables on an annual basis along with the webpages. This accreditation attests to Controllabs technical competence to develop and conduct proficiency tests in accordance with international requirements and enables it to be recognized in other countries, in accordance with mutual recognition agreements signed by Brazil in Mercosur, the Americas and Europe. Since the introduction of proficiency testing in the late 1940s, dramatic improvement in laboratory performance has been demonstrated. lock For product quality testing (or sensory) Conducted for testing sent to a 3 rd party Calibration . Interlab quality control (External QC) It is important in maintaining long-term accuracy of the clinical methods. Proficiency testing is the external component of quality control since it involves peer review. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You can decide how often to receive updates. PMC 1992 Jul;116(7):791-8; discussion 799-803. Proficiency testing - evaluating a laboratory's performance on specific tests or measurements. A proficiency test for your laboratory will help you not only in regularly checking your internal quality management but also in successfully applying for public tenders as this external supervision is often required by public institutions searching for new service partners in the field of ground or surface water control. 1992 Jul;38(7):1205-9; discussion 1218-25. CAP PT/EQA programs are accredited to the ISO17043 standard. Vial is at room temperature before use. We offer certified reference materials, containers and consumables for ultra-pure water analysis. Anvisa is a regulatory agency linked to the Ministry of Health of Brazil, whose mission is to protect and promote health, ensuring the health safety of products and services. 3. The proficiency testing program also contains an ungraded educational component which provides examples of items commonly seen during wet mount analysis which may be confused with clinically relevant cellular elements. Please enable it to take advantage of the complete set of features! The Proficiency Testing (EP), also known as External Quality Control (EQC), is an effective quality control tool for determining the analytical performance of the laboratory and a necessary requirement for laboratory accreditation processes (ISO 15189, ISO 17025, PALC-SBPC/ML, DICQ-SBAC, etc.) Some of Amanda's experiences include food . C. Quality System Managers 1. Official websites use .govA The evaluation process takes place after receiving the results by a deadline. In order to ensure that the test results obtained by the laboratory are valid, quality assurance is mandatory. The AXIO Proficiency Testing Pharmaceutical Scheme (PHARMASSURE) is UKAS-accredited and has been specifically designed to meet the needs of the pharmaceutical industry, with test materials provided for chemical and microbiological analysis, including sterility testing. The two EQC options open to blood gas testing are discussed in the SOM. Informational Website (protected content) from Saturday, December 10, 8:00 AM (CT) to Sunday, December 11, 7:30 PM (CT). Join more than 20,000 laboratories around the world and partner with us on your journey to achieve continuous quality improvements and higher standards of care for patients. 1 2.5s = one control measurement exceeds x 2.5s limits . Depending on the laboratory's SOP, one each of the high and low control may be used per run. 1993 Sep;13(3):739-52; discussion 737-8. Basic quality assurance and quality control programs can by used to build the foundation for accurate and precise results. These behaviors require a more complex analysis of the data, such as reanalysis of material (quality control of the material), discussion with scientific advisors, contact with users/manufacturers or conducting research. But even more important are proficiency tests, since they evaluate the actual analytical performance of a laboratory. The CAP is committed to providing the highest quality proficiency testing (PT) materials. PTs for initial and amendment applications must be completed before the application is submitted. Standardize the analytical stage against the market, Assess the efficiency of internal control and ensure its suitability for specific methods, Evaluate and monitor the performance of laboratories in specific tests, Determine the performance characteristics of already established methods and/or new methods and technologies, Accreditation process and bidding prerequisites, Requirements for accreditation with the main health insurers. Since the introduction of proficiency testing in the late 1940s, dramatic improvement in laboratory performance has been demonstrated. External quality assessment (EQA) is a practical tool for reviewing the performance of biomarkers and peer comparison of biomarker testing in diagnostic laboratories It allows laboratories to obtain an independent external assessment of their current process EQA is a way for laboratories to compare their results to an external source Proficiency Testing (PT)/External Quality Assessment (EQA) Programs. Clipboard, Search History, and several other advanced features are temporarily unavailable. Direct Transmission from Saturday, December 10, 8:00 AM (CT) to Sunday, December 11, 7:30 PM (CT). PTs for renewal applications must be completed during the second year of the laboratory's certificate before the application due date. Review our quality policy, scope, and certificate of ISO accreditation. Process Water Testing. Testing fully meets the requirements of the ISO/IEC 17043:2010 Conformity assessment General requirements for proficiency testing. For this reason, the Proficiency Testing assists laboratories so that they can guarantee quality delivery, in addition to allowing continuous improvement in their processes. The delivery of health services linked to quality is a constant concern. Copyright 2021 Quality Control for Laboratories LTDA. Learn more about ISO accreditation. Comparison based on the most specific groups and limits applied according to statistical studies based on ABNT NBR 13528. Proficiency testing (PT) or interlaboratory comparison testing is a critical tool not only for ISO/IEC 17025 laboratories, but also for quality assurance and continuous improvement as it allows laboratories to validate their analytical performance of specific tests, measurements, or calibrations. Proficiency Testing, commonly referred to as "PT," was originally developed as an educational tool to help laboratories investigate internal procedural problems and take corrective action to minimize the effect on patient results. Obtaining regular feedback, which includes analyses of the quality control data, from their proficiency testing/inter-laboratory comparison provider(s) regarding relative competence and accuracy. Interlab quality control (External QC) It involves the proficiency testing programs that periodically provide samples of unknown concentrations to participating clinical laboratories. Basically, the quality . 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Quality, Safety & Oversight - Certification & Compliance, Clinical Laboratory Improvement Amendments (CLIA), How to Apply for a CLIA Certificate, Including International Laboratories, Accreditation Organizations/Exempt States, Certification Boards for Laboratory Directors of High Complexity Testing, CLIA Regulations and Federal Register Documents, CLIA Related Hearing Decisions and Compliance Topics, Individualized Quality Control Plan (IQCP), State Agency & CLIA Operations Branch Contacts, CME Courses for Laboratory Directors of Moderate Complexity Laboratories, List of Non-waived Testing Which PT Is Required (PDF). External Quality Assessment (EQA) or Proficiency Testing in Molecular Diagnostics. Proficiency training in many sectors is an important precondition for organizational . . Our analysis of proficiency testing results suggested that lab quality had not improved at hospital labs in recent years. official website and that any information you provide is encrypted More than just a test, CAP PT/EQA is an education. It provides a list with possible causes of non-conforming results and centralizes the information in the same environment, for management evolution and evidence in audits. Laboratory inspections, which include checking the lab's procedures and equipment, are a part of this. . With continuous participation in the Proficiency Testing, the laboratory demonstrates competence to perform a certain test or measurement. The Quality Control Unit within the Michigan Department of Health and Human Services Bureau of Laboratories provides the . In part 2 of this 3-part series we'll review the rules associated with evaluating your results, and how to investigate any unsuccessful surveys. or Cgcre is signatory to the Mutual Recognition Arrangements of the International Laboratory Accreditation Cooperation (ILAC) and Interamerican Accreditation Cooperation (IAAC). 4. 9. x = Multi-level items, concentrations and matrices. In the periodic evaluations of this accreditation, new segments and tests are included and the evaluation is now conducted according to ABNT NBR ISO/IEC 17043. Our clients are composed of national and international players in the . It primarily measures accuracy because each laboratory's results are compared to the interlaboratory mean, which is assumed to be the true value. Test for total organic carbon (TOC) or turbidity in ultra-pure or drinking water, and ensure you meet water quality standards with ERA. Nonetheless, the poor performance found two decades earlier was summoned to support the passage of the Clinical Laboratory Improvement Act of 1967 (CLIA '67). Limitations of proficiency testing under CLIA '67. Visit our PT/EQA process page to learn more about the key steps to participate in our program and the resources available at each stage to help you along the way. . It allows you to check overall performance over time and identify which analyzes need immediate action. An official website of the United States government. Then, statistical and technical analysis is performed, which includes the identification of new techniques and verification of atypical behaviors. CLIA Brochure - Proficiency Testing and PT Referral (PDF) CLIA Brochure - Verification of Performance Specifications (PDF) . This site needs JavaScript to work properly. Fapas proficiency testing measures can help mitigate these risks by evaluating your current testing practices, and provide the data analysis required to highlight areas of improvement within your ongoing test practices. Our Sample Exchange Registry connects laboratories performing testing where no formal PT is available. CLIA 88 requires that laboratories successfully participate in an approved proficiency testing program. 4. The purpose . The cornerstones to assess and monitor analytical quality are internal quality control (IQA), external quality assessment and or proficiency testing (14) (15) (16)(17). Management center with summary of analytical performance and indicators to achieve the goals of excellence in analysis. Proficiency and Quality Control Testing Policy Introduction This policy is designed to highlight the processes Oil Analysis Laboratories use to ensure the reliability and accuracy of data we produce as a laboratory. Gain Control Over Quality and Safety Improve testing procedures, compare with your competitors, and meet safety regulations with our unique cannabis and hemp proficiency testing programs (PTPs). Federal regulation of clinical laboratories and the Clinical Laboratory Improvement Amendments of 1988--Part I. This report presents the statistical results with the performance of all analytical systems, allowing the laboratory to compare its systems against the market and its group. Embora o registro junto a Anvisa no se aplique aos materiais da Controllab (RDC n. 36/2015, Artigo 2, Pargrafo nico, I), a certificao em BPF aberta. .gov ISO 17043 Accreditation for Proficiency Testing The CAP is committed to providing the highest quality proficiency testing (PT) materials. Our programs include a wealth of information beyond simply your testing result. of the test without significant changes in routine. website belongs to an official government organization in the United States. Individuals with the performance of the round and graphs of the Deviation Index and Z Index; global market with technical and marketing information and continuous performance over the period. When the laboratory is willing to have its testing or measurement performance evaluated through PT, this provides added confidence to interested parties. Stay informed and up-to-date with regulatory news as well as timely information about our PT programs. The program includes much more than the analysis of a control serum with every run, and it involves: (1) lab. Why participate in the Proficiency Testing? ( Director, (2) Technologists, (3) all other . Structured in ABNT NBR ISO/IEC 17043. Proficiency testing is a way to assess the protocols in a lab and the staff that follow those protocols. 2019 Set 2 Quality Control Program Report pdf icon [PDF - 1 MB] 2019 Set 1 Quality Control Program Report (Amended) . Note: PT Samples on Secondary Instruments/Methods Proficiency testing, also known as interlaboratory comparison, is a necessary requirement for almost every regulated facility around the world. Quality system standards for testing laboratories (ASTM D6792 and ISO 17025) require the use of processes to manage precision and bias. Accuracy You Can Trust. Control rule definitions . Assessments are continuous, with regular intervals, annual targets and multiple items in varying concentrations. A ANVISA uma agncia regulamentadora vinculada ao Ministrio da Sade do Brasil, que tem a misso de proteger e promover a sade, garantindo a segurana sanitria de produtos e servios. Quality control check samples should be analysed by the defined procedures, at the required frequency. More than 30,000 IHC slides have been evaluated during 2003 . Share sensitive information only on official, secure websites. SQF Guidance document for Product Sampling, Inspection and Analysis Centers for Disease Control and Prevention (CDC): Clinical Laboratory Improvement Amendments (CLIA) Brochure #8 . A proficiency test for your laboratory will help you not only in regularly checking your internal quality management but also in successfully applying for public tenders as this external supervision is often required by public institutions searching for new service partners in the field of ground or surface water control.
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