New Method Implementation Checklist
Test Method:
Serial Number:
Assay:
Department:
Initiated By:
Date:
Complete all items prior to reporting any patient results.
Date
Method validation/verification plan initiated
Method validation/verification completed
Procedure written and approved by the CLIA Laboratory Director
Staff training completed and documented
LIS change control process completed
Patient Report Format Review completed
Activity menu updated
Proficiency testing enrollment or define alternative performance assessment
Final approval by CLIA Laboratory Director
Communication sent to clients
Test Implementation
Please note this is a sample form only. 042023
Use is not required and will not guarantee that your facility is compliant.
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