CLIA vs CAP

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I am confused on where one leaves off and one picks up. I do internal point of care and am covering external point of care also. I know the outside doctors offices are CLIA. However, how does it work with the clinics that are physically located inside of our hospital? Do they fall under CLIA and CAP both since they are technically are our CAP cert address or would they just be CLIA? 

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We have one clinic located in our hospital that has its own CLIA number, independent of the main lab's CLIA/CAP. They have their own medical director. Since they have their own CLIA certificate of waiver, they follow CLIA requirements (although we do have a bit tighter control since their Clinitek is interfaced under the POCT middleware).

Think of this by CLIA certificate number. Do the internal offices have their own CLIA certificate number?   If they do not have their own CLIA certificate but share yours in the main lab, they would fall under main lab CAP. 

Everything falls under CLIA. But CAP or JCAHO are the certifying bodies that verify your laboratory is meeting the standards set by CLIA. CAP and JCAHO (or COLA or the other lab accrediting agencies) each have their own standards and ways of approaching interpreting CLIA, but every lab ultimately falls under CLIA. Each certifying agency is very different and the different interpretations of CLIA standards within and between each can be very confusing.

Thank you all!

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Jennifer Toncray
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