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Director's Responsibilities under CLIA

Responsibilities that may be delegated to a technical consultant:

* Select test methodologies appropriate for the laboratory
* Verify performance characteristics of test systems
* Establish and implement proficiency testing program
* Establish and maintain acceptable levels of analytical performance of test systems
* Establish and monitor quality control and quality assurance programs appropriate for testing systems in use
* Direct resolution of technical problems beyond the expertise of testing personnel and assure that patient results are not reported unless test systems are functioning properly
* Evaluate competency of personnel performing all aspects of testing
* Identify training needs of testing personnel and assure that appropriate training is received
* Provide a procedure manual describing all aspects of testing

Responsibilities that may be delegated to a physician consultant:

* Ensure that test reports contain information necessary for interpretation of results
* Ensure that consultation is available regarding quality of test results and their interpretation

Responsibilities that may not be delegated:

* Ensure quality laboratory services for all aspects of testing performed
* Ensure that the physical plant is appropriate and safe
* Employ a sufficient number of personnel with appropriate education to perform their duties and provide training as necessary
* Specify in writing the duties of laboratory personnel, including consultants
* If responsibilities are delegated, ensure that all duties are properly performed
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