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* {{cite web |url=https://www.physiciansofficeresource.com/articles/magazine/ |title=''Physicians Office Resource Magazine'' |publisher=Medical Education Resources, LLC |date=2022}}
* {{cite web |url=https://www.physiciansofficeresource.com/articles/magazine/ |title=''Physicians Office Resource Magazine'' |publisher=Medical Education Resources, LLC |date=2022}}


===5.3 CLIA-waived POL instrument and test kit vendors===
===5.3 CLIA-waived instrument and test kit vendors===
The following is a list of vendors verified to sell CLIA-waived instruments and/or test kits. Vendors were pulled from the FDA's [https://www.fda.gov/medical-devices/medical-device-databases/clinical-laboratory-improvement-amendments-download-data downloadable CLIA file] from May 2022. The file was sorted to pull out the CLIA-waived devices, and then the vendors were researched to see if they still actively marketed the listed product(s). In some cases, the vendor listed on the FDA file was acquired by another company. If the associated products were still found to be marketed by the acquiring company, that company name was used. CLIA-waived device and test kit types are given as a general guide to what CLIA-waived items the vendor offers.
The following is a list of vendors verified to sell CLIA-waived instruments and/or test kits. Vendors were pulled from the FDA's [https://www.fda.gov/medical-devices/medical-device-databases/clinical-laboratory-improvement-amendments-download-data downloadable CLIA file] from May 2022. The file was sorted to pull out the CLIA-waived devices, and then the vendors were researched to see if they still actively marketed the listed product(s). In some cases, the vendor listed on the FDA file was acquired by another company. If the associated products were still found to be marketed by the acquiring company, that company name was used. CLIA-waived device and test kit types are given as a general guide to what CLIA-waived items the vendor offers.



Revision as of 17:30, 1 June 2022

Sandbox begins below

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5. Final thoughts and additional resources

5.1 Final thoughts

Doctor talking with a patient.jpg

The physician office laboratory (POL) has come a long way since its humble origins in the 1800s, using urinalysis to diagnose patient afflictions. The modern POL has a wider range of testing options thanks to evolutions in technologies such as molecular diagnostics. Yet they are also more regulated today (at least in the U.S.) than their ancestors, with the likes of the Clinical Laboratory Improvement Amendments (CLIA) framing test complexity and the requirements that come with each level of complexity. Laboratory testing is not all that is regulated either, with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) dictating how data and other information generated from testing must be protected. Add to that concerns about ensuring financial reimbursement for testing, maintaining competent staff, implementing and reviewing standardized procedures, tracking specimens, and reporting results in a timely and accurate fashion; this can leave the enterprising physician office doubting whether a POL is worth the effort.

However, the promise of caring for a patient's needs at or near the point of care—and the benefits that come with that—remains strong. Yes, pharmacy laboratories have increasingly sprung up in the last 10 years, taking away some of the momentum of the POL, but the physician isn't found at the pharmacy. Patients will continue to visit their physician, and many will continue to get value from having some level of laboratory testing at the physician office. This is usually represented by a set of specific tests that lend themselves well to being conducted relatively easily and interpreted rapidly. Types of urinalysis, blood analysis, clinical chemistry, and immunological analysis—particularly those that are CLIA-waived—are most likely to be employed in the POL for a number of conditions, diseases, or analytes, including pregnancy, cholesterol, thyroid-stimulating hormone, and mononucleosis.

This testing requires thoughtful workflow preparation and management that takes into account not only the order of operations but also the flow of information. Data and information management practices are important to the POL, and if their workload justifies it, the POL may require software solutions like laboratory information systems (LIS) and electronic health records (EHRs). However, implementing such systems isn't necessarily straightforward, requiring additional considerations about budget and usefulness. Decisions on such software implementations, as well as the testing the lab conducts and how it's conducted, requires knowledgeable personnel who have been trained in information systems and testing protocols. How the laboratory is classified with CLIA will determine whether or not a laboratory manager is a hard requirement; however, in all cases someone should be taking the lead on POL operations. Are processes and procedures properly documented? Is there a quality management process in the POL? Does the lab participate in proficiency testing? These and other aspects of the POL must be addressed, regardless of the POL's CLIA classification.

In the end, a POL still serves an important role within the sphere of clinical laboratory testing. As molecular testing options continue to expand to the point of care, the POL will likely see additional opportunities to expand its test menu. This was seen with the emergence of the COVID-19 pandemic and the demand for rapid molecular testing that came with it, which made clear that a quick diagnosis at the physician's office, among other locations, is valuable to patient management and treatment. But the POL's continued utility and success will largely hinge upon effective setup and management, which in turn requires knowledgeable and motivated people to ensure the POL's long-term success.


5.2 Further reading


Clinical laboratories, including the POL


Industry magazines


5.3 CLIA-waived instrument and test kit vendors

The following is a list of vendors verified to sell CLIA-waived instruments and/or test kits. Vendors were pulled from the FDA's downloadable CLIA file from May 2022. The file was sorted to pull out the CLIA-waived devices, and then the vendors were researched to see if they still actively marketed the listed product(s). In some cases, the vendor listed on the FDA file was acquired by another company. If the associated products were still found to be marketed by the acquiring company, that company name was used. CLIA-waived device and test kit types are given as a general guide to what CLIA-waived items the vendor offers.

Note: Do not assume that just because a vendor is listed here all of its offerings are CLIA-waived. Some of these vendors may also sell analyzers and tests that are certified moderate or complex. Additionally, this listing does not name the specific CLIA-waived item(s). It is ultimately up to the potential buyer to verify with the vendor that a specific item is CLIA-waived before purchase.

Vendors of CLIA-waived Instruments and Devices
Original manufacturer Testing domain(s) covered Device type(s)
Abaxis, Inc. clinical chemistry chemistry analyzers
Abbot Diabetes Care clinical chemistry blood glucose monitors
Abbot Point of Care clinical chemistry, hematology blood analyzers, chemistry analyzers, hematology devices, molecular immunoassay analyzer
ACON Laboratories, Inc. clinical chemistry, hematology, urinalysis blood glucose monitors, hematology devices, urine analyzers
Advocate Meters, Inc. clinical chemistry blood glucose monitors
AgaMatrix, Inc. clinical chemistry blood glucose monitors
All Medicus Co., Ltd. clinical chemistry blood glucose monitors
Alliance International Co., Ltd. clinical chemistry blood glucose monitors
AmVenturex, Inc. clinical chemistry blood ketone monitors
American Screening Corp. clinical chemistry blood glucose monitors
Andon Health Co., Ltd. clinical chemistry blood glucose monitors
Apex Biotechnology Corp. clinical chemistry blood glucose monitors, blood ketone monitors
Applied Biomedical, LLC clinical chemistry blood glucose monitors
Arkray USA, Inc. clinical chemistry blood glucose monitors, chemistry analyzers
Ascensia Diabetes Care Holdings AG clinical chemistry blood glucose monitors
Athelas, Inc. hematology hematology devices
Becton Dickson and Company immunology digital immunoassay analyzer
Bigfoot Biomedical, Inc. clinical chemistry blood glucose monitors
binx health, Inc. immunology molecular immunoassay analyzer
BioLand Technology Ltd. clinical chemistry blood glucose monitors
Bionime Corporation clinical chemistry blood glucose monitors
BioSys Laboratories, Inc. urinalysis urine analyzers
BioTelemetry, Inc. clinical chemistry blood glucose monitors
Biotron Diagnostics, Inc. clinical chemistry blood glucose monitors
Bonraybio Co., Ltd. miscellaneous fertility monitor (male)
Bruno Pharma Innovations, LLC clinical chemistry blood glucose monitors, blood ketone monitors
BTNX, Inc. clinical chemistry, urinalysis blood glucose monitors, urine analyzers
Cambridge Sensors Ltd. clinical chemistry blood glucose monitors
Cardinal Health, Inc. urinalysis urine analyzers
CGETC, Inc. clinical chemistry blood glucose monitors
Clarity Diagnostics, LLC clinical chemistry, hematology, urinalysis blood glucose monitors, hematology devices, urine analyzers
CoaguSense, Inc. hematology hematology devices
DELBio, Inc. clinical chemistry blood glucose monitors
Diathrive, Inc. clinical chemistry blood glucose monitors
EKF Diagnostics Holding Plc clinical chemistry, hematology blood glucose monitors, blood ketone monitors, hematology devices
Empecs Medical Co., Ltd. clinical chemistry blood glucose monitors
EPS Bio Technology Corp. clinical chemistry blood glucose monitors
Fifty 50 Medical, Inc. clinical chemistry blood glucose monitors
FirstVitals Health and Wellness, Inc. clinical chemistry blood glucose monitors
ForaCare, Inc. clinical chemistry blood glucose monitors
General Life Biotechnology Co., Ltd. clinical chemistry blood glucose monitors
Germaine Laboratories, Inc. clinical chemistry, urinalysis blood cholesterol monitors, blood glucose monitors, urine analyzers
GL Diabetes, LLC clinical chemistry blood glucose monitors
Gluco Perfect, Inc. clinical chemistry blood glucose monitors
Greater Goods, LLC clinical chemistry blood glucose monitors
GreenCross Medis Corp. clinical chemistry blood glucose monitors
HemoCue AB clinical chemistry, hematology blood glucose monitors, hematology devices
Henry Schein, Inc. urinalysis urine analyzers
HMD Biomedical, Inc. clinical chemistry blood glucose monitors
Home Aide Diagnostics, Inc. clinical chemistry blood glucose monitors
Hummingbird Medical, Inc.
dba Nurse Rosie Products
clinical chemistry blood glucose monitors
i-SENS. Inc. clinical chemistry blood glucose monitors, blood ketone monitors
iHealth Labs, Inc. clinical chemistry blood glucose monitors
ijDream Corporation clinical chemistry blood glucose monitors
iLine Microsystems SL hematology hematology devices
Infopia Co., Ltd. clinical chemistry blood glucose monitors
Intuity Medical, Inc. clinical chemistry blood glucose monitors
Jant Pharmacal Corp. hematology hematology devices
Joicom Corporation clinical chemistry blood glucose monitors
Joinsoon Medical Technology Co., Ltd. hematology hematology devices
Keto-Check, Inc. clinical chemistry blood glucose monitors, blood ketone monitors
KPI Healthcare, Inc. clinical chemistry blood cholesterol monitors
LabStyle Innovations Ltd. clinical chemistry blood glucose monitors
LifeScan, Inc. clinical chemistry blood glucose monitors
Livongo Health, Inc. clinical chemistry blood glucose monitors
Magellan Diagnostics, Inc. clinical chemistry blood analyzers
Major Biosystem Co., Ltd. clinical chemistry blood glucose monitors
McKesson Medical-Surgical
McKesson Medical-Surgical, PSS site
clinical chemistry, urinalysis blood glucose monitors, urine analyzers
MediVena, LLC clinical chemistry blood glucose monitors
Medline Industries, Inc. clinical chemistry, urinalysis blood glucose monitors, urine analyzers
Meridian Bioscience, Inc. clinical chemistry blood lead analyzer
Mesa Biotech, Inc. immunology digital immunoassay analyzer
Metene Limited clinical chemistry blood glucose monitors
MHC Medical Products, LLC clinical chemistry blood glucose monitors
MiCoBioMed Co., Ltd. clinical chemistry blood glucose monitors
MicroTech Medical (Hangzhou) Co., Ltd. clinical chemistry blood glucose monitors
Midwest Trading Group, Inc. clinical chemistry blood glucose monitors
Nova Biomedical Corp. clinical chemistry blood glucose monitors
O2 Lifecare, LLC clinical chemistry blood glucose monitors, blood cholesterol monitors
Ok Biotech Co., Ltd. clinical chemistry blood glucose monitors
Omnis Health, LLC clinical chemistry blood glucose monitors
OptumRx, Inc. clinical chemistry blood glucose monitors
Philosys Co., Ltd. clinical chemistry blood glucose monitors
Pip Diabetes Care clinical chemistry blood glucose monitors
Polymer Technology Systems, Inc. clinical chemistry blood glucose monitors, blood cholesterol monitors
POPS! Diabetes Care, Inc. clinical chemistry blood glucose monitors
Prodigy Diabetes Care, LLC clinical chemistry blood glucose monitors
PTS Diagnostics clinical chemistry, hematology blood glucose monitors, hematology devices
Roche Diagnostics clinical chemistry, hematology, urinalysis blood glucose monitors, hematology devices, urine analyzers
SD BioSensor, Inc. clinical chemistry blood glucose monitors
Separation Technology, Inc. hematology hematology devices
Siemens Healthcare GmbH hematology, urinalysis hematology devices, urine analyzers
Simple Diagnostics, Inc. clinical chemistry blood glucose monitors
Sinocare, Inc. clinical chemistry blood glucose monitors
Smart Meter, LLC clinical chemistry blood glucose monitors
SMC Direct, LLC clinical chemistry, urinalysis blood glucose monitors, urine analyzers
Stanbio Laboratory L.P. hematology, urinalysis hematology devices, urine analyzers
Swiss Precision Diagnostics GmbH urinalysis fertility monitor (female)
TearLab Corporation clinical chemistry chemistry analyzers
Teco Diagnostics, Inc. urinalysis urine analyzers
Tenovi Ltd. clinical chemistry blood glucose monitors
Trividia Health, Inc. clinical chemistry blood glucose monitors
Tyson Bioresearch, Inc. clinical chemistry blood glucose monitors
US Diagnostics, Inc. clinical chemistry blood glucose monitors
Vidan Diagnostics, LLC clinical chemistry blood glucose monitors, blood ketone monitors
Visgeneer, Inc. clinical chemistry blood glucose monitors
VivaChek Laboratories, Inc. clinical chemistry blood glucose monitors, blood ketone monitors
YD Diagnostics Corp. urinalysis urine analyzers
Zenith Diagnostics clinical chemistry blood glucose monitors
Vendors of CLIA-waived Test Kits and Supplies
Original manufacturer Testing domain(s) covered Test kit type(s)
1 Step Detect Associates, LLC toxicology drug screen
Abbott (formerly Alere/Inverness/Innovacon) immunology, toxicology drug screen, fecal occult, H. pylori, influenza, mono, pregnancy test, Strep A
ACON Laboratories, Inc. immunology, toxicology, urinalysis drug screen, H. pylori, mono, ovulation test, pregnancy test, Strep A, urine reagent strips
Acro Biotech, Inc. immunology pregnancy test
Advin Biotech, Inc. toxicology drug screen
Aerscher Diagnostics, LLC immunology fecal occult, gastric occult
Ai De Diagnostic Co. immunology pregnancy test
Alfa Scientific Designs, Inc. immunology, toxicology, urinalysis drug screen, fecal occult, H. pylori, ovulation test, pregnancy test
ALYK, Inc. immunology pregnancy test
American Bio Medica Corp. toxicology drug screen
American Screening Corp. toxicology drug screen
Ameritek USA, Inc. immunology fecal occult, ovulation test, pregnancy test, trichomonas
Analyticon Biotechnologies AG urinalysis urine reagent strips
Arlington Scientific, Inc. immunology pregnancy test
Artron Laboratories, Inc. immunology pregnancy test
Assure Tech. (Hangzhou) Co., Ltd. toxicology drug screen
Atlas Medical Ltd. immunology pregnancy test
Axium BioResearch, Inc. toxicology drug screen
Azure Biotech, Inc. immunology pregnancy test
Beckman Coulter, Inc. immunology fecal occult, gastric occult, H. pylori, mono, pregnancy test, Strep A
Becton Dickson and Company immunology H. pylori, ovulation test, pregnancy test, Strep A
Best Value Medical toxicology drug screen
Bhat Bio-tech India Private Limited urinalysis urine reagent strips
Big Room Testing, LLC toxicology drug screen
bioLytical Laboratories, Inc. immunology HIV-1
Biomerica, Inc. immunology fecal occult, ovulation test, pregnancy test
bioMérieux SA immunology pregnancy test
Biorex Labs, LLC urinalysis urine reagent strips
Biotech Screening, LLC toxicology drug screen
Biotron Diagnostics, Inc. urinalysis urine reagent strips
BTNX, Inc. immunology, toxicology drug screen, fecal occult, FSH, H. pylori, pregnancy test, RSV, Strep A, TSH
Cambridge Diagnostic Products, Inc. immunology fecal occult
Cardinal Health, Inc. immunology, urinalysis H. pylori, mono, pregnancy test, Strep A, urine reagent strips
Cen-Med Enterprises, Inc. immunology fecal occult, pregnancy test
Cenogenics Corp. immunology, urinalysis fecal occult, pregnancy test, urine reagent strips
Cepheid immunology influenza, Strep A
Chain Drug Marketing Association, Inc. urinalysis urine reagent strips
Chematics, Inc. toxicology drug screen
Chembio Diagnostic Systems, Inc. immunology HIV-1, HIV-2
Chemtron Biotech, Inc. immunology, toxicology drug screen, pregnancy test
Church & Dwight Co., Inc. immunology pregnancy test
Clarity Diagnostics, LLC immunology, toxicology drug screen, fecal occult, H. pylori, mono, pregnancy test
CLIAwaived, Inc. immunology, toxicology, urinalysis drug screen, fecal occult, H. pylori, pregnancy test, Strep A, TSH, urine reagent strips
Clinical Genomics Technologies Pty. Ltd. immunology fecal occult
Clinical Reference Laboratory, Inc. toxicology drug screen
Coastline Medical Management, LLC toxicology drug screen
Co-innovation Biotech Co., Ltd. immunology, toxicology drug screen, pregnancy test
Common Sense Ltd. immunology vaginal pH
Confirm Biosciences toxicology drug screen
Coretests, Inc. immunology, toxicology drug screen, pregnancy test
Dealmed Medical Supplies, LLC immunology pregnancy test, Strep A
Devon Medical Products, Inc. toxicology drug screen
DFI Co., Ltd. urinalysis urine reagent strips
Diagnostics Direct, LLC immunology syphilis
Deus Vult, LLC toxicology drug screen
Drug Test City, Inc. toxicology drug screen
EASY at Home Medical, LLC immunology, toxicology, urinalysis drug screen, pregnancy test, urine reagent strips
EKLA Corporation immunology, toxicology drug screen, pregnancy test
Express Diagnostics International, Inc. immunology, toxicology, urinalysis drug screen, pregnancy test, urine reagent strips
EZ Testing Solutions, Inc. toxicology drug screen
First Check Diagnostics, LLC toxicology drug screen
Fisher Healthcare immunology influenza, RSV
Germaine Laboratories, Inc. immunology, urinalysis fecal occult, H. pylori, mono, pregnancy test, Strep A, urine reagent strips
Get Stix, LLC immunology pregnancy test, urine reagent strips
Guangzhou Wondfo Co., Ltd. immunology, toxicology drug screen, pregnancy test
Halyard Worldwide, Inc. immunology H. pylori
Hangzhou AllTest Biotech Co., Ltd. toxicology drug screen
Hangzhou Biotest Biotech Co., Ltd. toxicology drug screen
Hangzhou Clongene Biotech Co. Ltd. immunology pregnancy test
Hangzhou Sejoy Electronics & Instruments Co. Ltd. immunology pregnancy test
Hatty, Inc. urinalysis urine reagent strips
Healgen Scientific, LLC immunology, toxicology, urinalysis drug screen, fecal occult, pregnancy test, urine reagent strips
Healthy.io Ltd. urinalysis urine reagent strips
Helena Laboratories Corp. immunology fecal occult
Henry Schein, Inc. immunology, urinalysis fecal occult, H. pylori, influenza, mono, pregnancy test, Strep A, urine reagent strips
Heritage House '76 Inc. immunology pregnancy test
Home Health UK, Ltd. immunology pregnancy test
Hospital Connect, Inc. toxicology drug screen
i-Health, Inc. urinalysis urine reagent strips
IMCO, Inc. immunology mono, pregnancy test, Strep A, trichomonas
Immunostics, Inc. immunology, urinalysis pregnancy test, Strep A, urine reagent strips
Innovative Laboratory Solutions, LLC toxicology drug screen
Innovita (Tangshan) Biological Technology Co. Ltd. immunology pregnancy test
Independent Medical Co-Op, Inc. immunology, toxicology drug screen, pregnancy test
Intrinsic Interventions, Inc. toxicology drug screen
Jant Pharmacal Corp. immunology, toxicology drug screen, fecal occult, H. pylori, mono, pregnancy test, Strep A, TSH, urine reagent strips
Labsystems Diagnostics Oy immunology pregnancy test
Lendas, UAB toxicology drug screen
LIA Diagnostics, Inc. immunology pregnancy test
LifeSign, LLC immunology fecal occult, H. pylori, influenza, mono, pregnancy test, Strep A
LumiQuick Diagnostics, Inc. toxicology drug screen
MACHEREY-NAGEL GmbH & Co. KG urinalysis urine reagent strips
Mandarin Enterprises, LLC immunology pregnancy test
Magenta Technology Partners, LLC toxicology drug screen
Masena Invest BV immunology pregnancy test
McKesson Medical-Surgical immunology, urinalysis drug screen, H. pylori, mono, pregnancy test, Strep A, urine reagent strips
Medical Disposables Corporation immunology, toxicology drug screen, fecal occult
Medical Distribution Group, Inc. toxicology drug screen
Medical Electronic Systems, LLC immunology semen
Medimpex United, Inc. immunology, toxicology drug screen, pregnancy test
Medline Industries, Inc. immunology, urinalysis drug screen, fecal occult, influenza, mono, pregnancy test, urine reagent strips
Mercedes Scientific, Inc. toxicology drug screen
Meridian Bioscience, Inc. immunology pregnancy test
Mergers Marketing, Inc. immunology, toxicology drug screen, pregnancy test
Mesa Biotech, Inc. immunology Strep A
MFB Fertility, Inc. immunology fertility test
Micro Distributing II, Ltd. toxicology drug screen
Mosie, LLC immunology pregnancy test
Mossman Associates, Inc. toxicology drug screen
MotilityCount ApS immunology semen
MP Biomedicals, LLC toxicology drug screen
MyDrugTestCups.com, LLC toxicology drug screen
Nantong EGENS Bio Technology Company immunology pregnancy test
National Diagnostic Products Pty. Ltd. clinical chemistry blood glucose
National Distribution & Contracting, Inc. immunology fecal occult, H. pylori, mono, pregnancy test, Strep A
National Test Systems, LLC toxicology drug screen
Native Diagnostics, Inc. toxicology drug screen
Natural Cycles Nordic AB immunology pregnancy test
NewScen Coast Bio-Pharmaceutical Co., Ltd. immunology pregnancy test
NexScreen, LLC toxicology drug screen
Noble Medical, Inc. toxicology drug screen
Omega Laboratories, Inc. toxicology drug screen
On-Site Testing Specialists, Inc. toxicology drug screen
OraSure Technologies, Inc. immunology, toxicology drug screen, HCV, HIV-1
Origin, Inc. toxicology drug screen
Owens & Minor, Inc. immunology pregnancy test
Phamatech, Inc. toxicology drug screen
Pharmaceutical Marketing Systems, Inc. immunology TSH
Pinnacle BioLabs, LLC urinalysis urine reagent strips
Polymed Therapeutics, Inc. immunology, toxicology drug screen, pregnancy test
Polymedco, Inc. immunology BTA, fecal occult, H. pylori, mono, pregnancy test, Strep A
Premier Biotech, Inc. toxicology drug screen
Prestige Brands Holdings, Inc. immunology pregnancy test
Princeton BioMeditech Corporation immunology, toxicology drug screen, fecal occult, H. pylori, ovulation test, pregnancy test, Strep A
Proctor and Gamble immunology pregnancy test
Professional Medical, Inc. urinalysis urine reagent strips
Propper Manufacturing Co., Inc. immunology fecal occult
Qingdao Hightop Biotech Co. Ltd. immunology pregnancy test
Qualigen, Inc. immunology TSH
Quidel Corporation immunology, urinalysis H. pylori, influenza, mono, pregnancy test, RSV, Strep A, urine reagent strips, vaginal pH
Rapid Pathogen Screening, Inc. adenovirus, MMP-9 pregnancy test
Rapid Self Test, Inc. toxicology drug screen
Redwood Toxicology Laboratory, Inc. toxicology drug screen
Rhema Scientific, Inc. toxicology drug screen
RightBio Metrics, Inc. immunology gastric pH
Runbio Biotech Co., Ltd. immunology ovulation test, pregnancy test
SA Scientific, Ltd. immunology influenza, pregnancy test, RSV, Strep A
Sandstone Diagnostics, Inc. immunology semen
Sasmar, Inc. immunology pregnancy test
Savyon Diagnostics Ltd. urinalysis urine reagent strips
Scanwell Health, Inc. urinalysis urine reagent strips
Safecare Biotech (Hangzhou) Co. Ltd. immunology, toxicology drug screen, pregnancy test
Scanadu, Inc. urinalysis urine reagent strips
SCI Medic, Inc. immunology, toxicology, urinalysis drug screen, pregnancy test, urine reagent strips
Screening Devices Canada, Inc. clinical chemistry TSH
Sekisui Diagnostics, LLC immunology influenza, mono, pregnancy test, Strep A, trichomonas
Serim Research Corporation immunology H. pylori
Shanghai Chemtron Biotech Co., Ltd. immunology pregnancy test
Shenzhen Bioeasy Biotechnology Co., Ltd. toxicology drug screen
Siemens Healthcare GmbH urinalysis urine reagent strips
SMC Direct, LLC immunology, urinalysis pregnancy test, Strep A, urine reagent strips
SolCraft, Inc. immunology pregnancy test
SpermCheck immunology semen
Speedy Solutions, LLC toxicology drug screen
Stanbio Laboratory L.P. immunology, urinalysis fecal occult, H. pylori, mono, pregnancy test, Strep A, urine reagent strips
Sugentech, Inc. immunology pregnancy test
Swiss Precision Diagnostics GmbH immunology ovulation test, pregnancy test
Syntron Bioresearch, Inc. immunology, toxicology, urinalysis drug screen, pregnancy test, urine reagent strips
SZIO+, Inc. urinalysis urine reagent strips
Tanner Scientific, Inc. urinalysis urine reagent strips
Teco Diagnostics, Inc. immunology, toxicology, urinalysis drug screen, fecal occult, ovulation test, pregnancy test, urine reagent strips
Thermo Fisher Scientific, Inc. immunology, urinalysis fecal occult, H. pylori, influenza, pregnancy test, RSV, Strep A, urine reagent strips
Tianjin New Bay Bioresearch Co. Ltd. immunology pregnancy test
TransMed Co., LLC toxicology drug screen
Transmetron, Inc. toxicology drug screen
Trinity Biotech Plc immunology H. pylori, HIV-1
True Diagnostics, Inc. immunology pregnancy test
Turklab AS immunology pregnancy test
UA Cups, Inc. toxicology drug screen
UCP Biosciences, Inc. toxicology drug screen
Ultimate Analysis Cup, Inc. toxicology drug screen
Universal Meditech, Inc. immunology, urinalysis fecal occult, pregnancy test, urine reagent strips
Uqora, Inc. urinalysis urine reagent strips
US Diagnostics, Inc. toxicology drug screen
UTest toxicology drug screen
uVera Diagnostics, Inc. toxicology drug screen
Verify Diagnostics, Inc. immunology, toxicology drug screen, pregnancy test
VicTorch Meditek, Inc. immunology pregnancy test
Visby Medical, Inc. immunology STI test
W.H.P.M., Inc. immunology, toxicology drug screen, pregnancy test
Weihai Kangzhou Biotechnology Engineering Co., Ltd. immunology pregnancy test
Wholepower Biotech Co., Ltd. immunology pregnancy test
Wiener Laboratorios SAIC urinalysis urine reagent strips
WOLFE, Inc. toxicology drug screen
Wondfo Biotech Co. Ltd. immunology, toxicology drug screen, ovulation test, pregnancy test
Xiamen Useful Import and Export Co., Ltd. toxicology drug screen
YD Diagnostics urinalysis urine reagent strips
Zer Hitech Ltd. immunology pregnancy test
Zhejiang Orient Gene Biotech Co., Ltd. immunology fecal occult, pregnancy test


5.4 Other diagnostic instrument and test kit vendors

The following is a list of additional vendors verified to offer CLIA-certified moderate or complex diagnostic instruments and/or test kits.

Note: Most of these vendors sell analyzers and tests that are CLIA-certified moderate or complex. However, is ultimately up to the potential buyer to verify with the vendor an item's CLIA certification status before purchase.

AB Sciex Pte. Ltd.
Abbot
Accelerate Diagnostics, Inc.
Access Bio, Inc.
Acro Biotech, LLC
Advin Biotech, Inc.
AESKU.GROUP GmbH & Co. KG
Aggredyne, Inc.
Agilent Technologies, Inc.
AiDe Diagnostic Co., Ltd.
Akonni Biosystems, Inc.
Alba Bioscience Ltd.
ALCOR Scientific, Inc.
Alfa Wassermann, Inc.
Alifax S.r.l.
Alpha Laboratories Ltd.
American Laboratory Products Company Ltd.
Ansh Labs, LLC
Applied Biocode, Inc.
Applied Spectral Imaging, Inc.
Arlington Scientific, Inc.
ARK Diagnostics, Inc.
Associates of Cape Cod, Inc.
Astute Medical, Inc.
ATAGO U.S.A., Inc.
Athelas, Inc.
Atlas Medical Ltd.
Avioq, Inc.
Awareness Technology, Inc.
AXIM Biotechnologies, Inc.
Azure Biotech, Inc.
BacterioScan, Inc.
Beckman Coulter, Inc.
Becton, Dickinson and Company - Biosciences
Becton, Dickinson and Company - Molecular
Baebies, Inc.
The Binding Site Group Ltd.
binx health, Inc.
Bio-Rad Laboratories, Inc.
Biocare Medical, LLC
Biocartis NV
Biofire Diagnostics, LLC
BioGenix Laboratories, Inc.
Biofortuna Ltd.
bioLytical Laboratories, Inc.
bioMérieux SA
Biorex Labs, LLC
BioSystems SA
BioTek Instruments, Inc.
Bioview Ltd.
Boditech Med, Inc.
Bonraybio Co., Ltd.
BÜHLMANN Laboratories AG
BRAHMS GmbH
Bruker Corporation
Cardinal Health, Inc.
Carolina Liquid Chemistries Corp.
CellaVision AB
CD Diagnostics, Inc.
Cepheid
Check-Points Health BV
Chembio Diagnostic Systems, Inc.
Chrono-Log Corporation
Clever Culture Systems AG
Clinical Diagnostics Solutions, Inc.
Curetis NV
Denka Company Limited
DiAgam SA
DIAGAST SAS
Diagnostic Grifols SA
Diagnostica Stago, Inc.
Diamond Diagnostics, Inc.
DiaSorin S.p.A.
Diatron Medical Instruments Ltd.
Diazyme Laboratories, Inc.
DIESSE Diagnostica Senese SpA
DIRUI Industrial Co. Ltd.
Drew Scientific, Inc.
Drawbridge Health, Inc.
EDAN Instruments, Inc.
Eiken Chemical Co., Ltd.
ELITech Group SAS
Erba Diagnostics Mannheim GmbH
Erba Lachema s.r.o.
EUROIMMUN Medizinische Labordiagnostika AG
Eurospital SpA

First Light Diagnostics, Inc.
Focus Diagnostics, Inc.
Foundation Medicine, Inc.
FUJIFILM Healthcare Americas Corporation
Fujirebio Europe NV
Genalyte, Inc.
GenBio
GenMark Diagnostics, Inc.
GenPrime, Inc.
Genzyme Corporation
GlycoMark, Inc.
Gold Standard Diagnostics
Great Basin Corporation
Guangzhou Wondfo Co., Ltd.
Guardant Health, Inc.
Haemonetics Corporation
Hardy Diagnostics, Inc.
Healgen Scientific, LLC
Healthy.io Ltd.
Helena Laboratories Corporation
Helix OpCo, LLC
HemaTechnologies
Hemosonics, LLC
Henry Schein, Inc.
Hologic, Inc.
HORIBA, Ltd. - Main Site
HORIBA, Ltd. - MedTestDx)
Hycor Biomedical, Inc.
HYPHEN Biomed SAS
iCubate, Inc.
IDS PLC
iLine Microsystems SL
Illumina, Inc.
Immucor, Inc.
Immunalysis Corporation
Immuno Concepts N.A. Ltd.
Immuno-Mycologics, Inc.
Immunodiagnostic Systems Holdings PLC
Immunotech sro
InBios International, Inc.
Independent Medical Co-Op, Inc.
InDevR, Inc.
Infrared Laboratory Systems, LLC
Invivoscribe, Inc
IVD Research, Inc.
iXensor Co., Ltd.
Jana Care, Inc.
Kamiya Biomedical Company, LLC
KPS Analytics
KRONUS, Inc.
Laborie Medical Technologies Corp.
Leica Biosystems Nussloch GmbH
LifeSign, LLC
Lin-Zhi International, Inc.
Liofilchem srl
Lite-On Technology Corporation
Luminex Corporation
LumiQuick Diagnostics, Inc.
M Dialysis AB
MACHEREY-NAGEL GmbH & Co. KG
MagnaBioSciences, LLC
Medica Corporation
Medical Electronic Systems, LLC
Medical Wire & Equipment
Medicon Hellas SA
Medimpex United, Inc.
Medtronic PLC
MELET SCHLOESING Laboratoires SA
MeMed Diagnostics, Ltd.
Meridian Bioscience, Inc.
Meso Scale Diagnostics, LLC
MetaSystems Indigo GmbH
Micro Distributing II, Ltd.
Minaris Medical America, Inc.
Mindray Medical International Ltd.
Mitsubishi Chemical Medience Corp.
Monobind, Inc.
Myriad Genetics, Inc.
Nano-Ditech Corporation
NanoEnTek, Inc.
NantHealth, Inc.
Native Diagnostics International
NeuMoDx Molecular, Inc.
NexScreen, LLC
NG Biotech SAS
Nova Biomedical Corporation

NOVX Systems, Inc.
NOWDiagnostics, Inc.
One Lambda, Inc.
OPKO Health, Inc.
OPTI Medical Systems
OraSure Technologies, Inc.
Orion Diagnostica Oy
Ortho-Clinical Diagnostics, Inc.
Otsuka Pharmaceutical Co., Ltd.
Oxford Gene Technology IP Limited
Oy Medix Biochemica Ab
Pall Corporation
Panion & BF Biotech Inc.
Parsagen Diagnostics, Inc.
PerkinElmer, Inc.
Phamatech, Inc.
Pixcell Medical Technologies, Ltd.
Pointe Scientific, Inc.
Polymedco CDP, LLC
Polymer Technology Systems, Inc.
Precision BioLogic, Inc.
Premier Biotech, Inc.
Progenika Biopharma SA
Psychemedics Corporation
QIAGEN GmbH
Quidel Corporation
Quotient Ltd.
R-Biopharm AG
r2 Diagnostics
Radiometer Medical ApS
Randox Laboratories Ltd.
Rapid Detect, Inc.
Reichert, Inc.
Response Biomedical Corporation
Roche Diagnostics
Sakae, Inc.
Sanguina, LLC
Scopio Labs Ltd.
Sebia SA
Sekisui Diagnostics PEI, Inc.
Sentinel CH SpA
Serosep Ltd.
Shenzhen Bioeasy Biotechnology Co. Ltd.
Shenzhen New Industries Biomedical Engineering Co. Ltd.
Siemens Healthcare Diagnostics
Sight Diagnostics Ltd.
Skyla Corporation
Spectral Medical, Inc.
SSI Diagnostica A/S
Stanbio Laboratory L.P.
Stratec Biomedical AG
Streck, Inc.
Svar Life Science AB
Sysmex America, Inc.
T2 Biosystems, Inc.
TaiDoc Technology Corporation
Tecan Trading AG
TECHLAB, Inc.
Teco Diagnostics, Inc.
TEM Innovations GmbH
Texas BioGene, Inc.
Thermo Fisher Scientific
Tokyo Boeki Holdings Corp.
Tosoh Corporation
Trinity Biotech Plc
Universal Meditech, Inc.
URIT Medical Electronic Group Co., Ltd.
Vela Diagnostics Pte. Ltd.
Viramed Biotech AG
Werfen
Wiener Laboratorios SAIC
Wuxi BioHermes Biomedical Technology Co. Ltd.
YD Diagnostics Corp.


5.5 Instrument and equipment distributors

The following is a representative listing of distributors offering clinical analyzers, point-of-care equipment, and other medical laboratory supplies the POL may require.

Distributors of clinical analyzers, point-of-care equipment, and other medical/laboratory supplies and equipment
Distributor Clinical analyzers? Point-of-care? Medical/laboratory
supplies and equipment?
Adelsys, Inc. Y N Y
AKW Medical, Inc. N N Y
Alaska Scientific, Inc. Y Y Y
Andwin Scientific Y Y Y
Atlantic Medical Solutions Y Y Y
Beach Medical Y N N
BioGX, Inc. N N Y
Block Scientific, Inc. Y Y Y
Cardinal Health, Inc. Y Y Y
Cen-Med Enterprises N Y Y
Clarkson Laboratory and Supply, Inc. Y Y Y
ClearChem Diagnostics Y N Y
Cole-Parmer Instrument Company, LLC N N Y
Custom Pack, Inc. N N Y
Daigger Scientific, Inc. N N Y
DRE Medical, Inc. N N Y
Dynamic Diagnostics, Inc. N N Y
ELITech Group Y Y Y
ExpotechUSA, Inc. N Y Y
Federal Industries Corporation N N Y
Fisher Healthcare Y Y Y
Fox Scientific, Inc. U U Y
Foxx Life Sciences, LLC N N Y
GENEQ, Inc. N N Y
Henry Schein, Inc. Y Y Y
High Technology, Inc. Y Y Y
Hoskin Scientific, Ltd. N N Y
Impact Diagnostic International N Y Y
Inter Medico Y N Y
Lab Supply Specialists Y Y Y
McCoy Health Science Supply N N Y
McGuff Company, Inc. N Y Y
McKesson Medical-Surgical Y Y Y
McMaster-Carr Supply N N Y
Med Lab Supply N Y Y
Medical Distribution Group, Inc. N N Y
Medicus Health N N Y
Medline Industries, Inc. N Y Y
Mercedes Scientific, Inc. Y Y Y
OMNILAB-LABORZENTRUM GmbH & Co. KG Y N Y
Preiser Scientific N N Y
R. Weinstein Pharmaceuticals & Medical Products Y Y Y
Siemens Healthcare GmbH Y Y N
Stat Technologies Y Y Y
TechNeal, Inc. Y Y Y
Thomas Scientific N N Y
Troy Biologicals, Inc. N Y Y
Universal Medical N N Y
US Specialty Labs Y N N
USABluebook N N Y
Vessel Medical Y Y N
VWR International Y Y Y
W.W. Grainger, Inc. N N Y


5.6 Consultants serving the POL market

The following consultancies state they assist the POL market on their website:

Vendor Headquarters Key services Services page
A&J Laboratory Consultants Dallas, TX, U.S. Laboratory start-up, pre-inspection evaluation, post-inspection correction, workflow improvement, quality management, procedure development, etc. Services page
Ancillary Medical Solutions Beachwood, OH, U.S. "Our comprehensive portfolio of medical ancillary programs are designed to help medical clinics improve practice efficiency, increase revenue, and deliver the highest level of care to patients." Services page
Beyond Lab Consulting New York, NY, U.S. "Our scope ranges from small physician office labs (POL) to large reference laboratories. BLC consultants are well versed in CLIA regulations, hiring and training of clinical staff, maximizing income while keeping laboratory costs down." Services page
Bruce North Country Consulting Services, LLC Daytona Beach, FL, U.S. "BNCCS is an experienced provider for physician office laboratories and small to moderate size hospital laboratories ... BNCCS provides expertise in designing, planning, implementing, seeking accreditation, and providing short and long term management." Services page
C&C Clinical Laboratory Consulting, LLC Dallas, TX, U.S. Laboratory start-up, pre-inspection evaluation, post-inspection correction, workflow improvement, quality management, procedure development, etc. Services page
Catalyst Consulting Austin, TX, U.S. Laboratory start-up, regulatory compliance, workflow improvement, profitability analysis Services page
Clinical Lab Consultants, LLC Sanford, FL, U.S. Laboratory start-up, regulatory compliance, plans of correction Services page
Clinical Lab Consulting, LLC Dublin, OH, U.S. Provides a wide range of services "to all types of clinical laboratories including governmental, academia, hospital, reference and physician office laboratories." Services page
Clinical Laboratory Consultants dba Medical Source Marietta, GA, U.S. "Medical Source offers experience, guidance, and unmatched expertise in the physician office and independent reference laboratory." Services page
Colaborate Tampa, FL, U.S. "We provide a full range of financial, technical and advisory consultation to fulfill the needs of pathology laboratories, medical laboratories, and clinical laboratories." Services page
CT POL Consultants South Windsor, CT, U.S. Laboratory start-up, pre-inspection evaluation, post-inspection correction, workflow improvement, LIS, EHR, lab billing, procedure development, etc. Services page
DoctorsManagement Knoxville, TN, U.S. Laboratory and physician practice accounting, compliance, development, and operation improvement Services page
Eastern Connecticut Pathology Consultants Manchester, CT, U.S. Physician office laboratory management Services page
K&K Consultant Group, Inc. Torrence, CA, U.S. Laboratory start-up, pre-inspection evaluation, post-inspection correction, workflow improvement, training, procedure development, etc. Services page
Lab Advisory Bureau Abilene, TX, U.S. Data management, quality managementm, regulatory guidance, training, accreditation prep Services page
Lab IQ, LLC Calabasas, CA, U.S. Compliance management, workflow improvement, training, procedure development, feasibility studies, etc. Services page
LabMetrics, LLC Ishpeming, MI, U.S. Laboratory start-up, compliance management, workflow improvement, procedure development, revenue management, etc. Services page
Lighthouse Lab Services Charlotte, NC, U.S. Laboratory start-up, compliance management, workflow improvement, procedure development, revenue management, growth strategy, etc. Services page
Nichols Management Group Ltd. York Harbor, ME, U.S. "The Nichols Management Group, LTD., (NMG) provides laboratory consulting services for healthcare organizations. NMG specializes in operations optimization, strategic planning, mergers and acquisitions (M&A), sales and marketing development and go-to-market strategies." Services page
OnTarget Consulting Services, LLC Atlanta, GA, U.S. Accreditation prep, operational and risk assessment, training, process management Services page
Physicians Office Consulting, LLC Jackson, TN, U.S. Laboratory CLIA compliance, regulatory review, and inspection services; laboratory start-up and development Services page
Physicians Office Laboratory Specialists, Inc. Puyallup, WA, U.S. Urine drug testing, opioid addiction treatment Services page
Point of Care Consults FL and NJ, U.S. Regulatory compliance, review, and inspection services; training Services page
ProSource Lab Consulting, LLC Jersey City, NJ, U.S. Laboratory start-up, procedure development, regulatory compliance, revenue management, etc. Services page
Sound Lab Consultants Phoenix, AZ, U.S. Laboratory feasibility, laboratory start-up, procedure development, revenue management, technical consultation, etc. Services page
South Shore Laboratory Consultants, Inc. Braintree, MA, U.S. "We have the expertise to facilitate all needs, from initial laboratory start-up through complete licensure, while ensuring continuous maintenance of your regulatory and quality systems." Services page


5.7 Consumables and supplies used in the POL

5.7.1 Diagnostic analyzers and devices (CLIA-waived)

  • blood analyzers
  • blood glucose monitors
  • blood ketone monitors
  • blood lead analyzers
  • chemistry analyzers
  • digital immunoassay analyzer
  • fertility monitor
  • hematology devices
  • molecular immunoassay analyzer
  • urine analyzers

5.7.2 Diagnostic test kits and supplies (CLIA-waived)

  • blood glucose test strips
  • adenoviral conjunctivitis
  • B-type natriuretic peptide (BNP)
  • bladder tumor associated antigen (BTA)
  • drug screen
  • fecal occult blood
  • follicle-stimulating hormone (FSH)
  • gastrick pH
  • gastric occult blood
  • hCG pregnancy test
  • Hepatitis C virus antibody (HCV)
  • HDL cholestrol
  • HIV-1 and/or HIV-2
  • H. pylori
  • influenza A and/or B
  • MMP-9 protein (for dry eye disease)
  • mononucleosis
  • ovulation test
  • respiratory syncytial virus (RSV)
  • semen (fertility)
  • Strep A
  • syphilis
  • trichomonas
  • thyroid-stimulating hormone (TSH)
  • urine reagent strips
  • vaginal pH

5.7.3 Laboratory furniture and equipment

  • balances
  • blood pressure meters
  • cabinets and stands
  • carts
  • centrifuges
  • chairs: doctor and patient
  • EKG machines
  • eyewash stations
  • fume hoods
  • glove boxes
  • hot plates
  • incubators
  • lighting
  • mats and trays
  • microscopes and accessories
  • mills
  • mixers
  • otoscopes
  • refrigerators and freezers
  • scales
  • sharps containers
  • stethoscopes
  • sterilization equipment
  • tables
  • thermometers
  • tube rockers
  • waste containers

5.7.4 Medical supplies

  • bandages and dressings
  • buffers, reagents, and solvents
  • catheters
  • cleaning supplies
  • eyeware and safety goggles
  • face and splash shields
  • gloves: chloroprene, latex, synthetic, vinyl
  • gowns
  • labels and tapes
  • masks
  • needles, lancets, and other sharps
  • ointments
  • pipettes
  • swabs and applicators
  • surgical instruments
  • table paper
  • timers
  • tourniquets
  • tube racks
  • urine and stool containers
  • vacutainer tubes
  • wipes
  • wound cleaners


5.8 Staffing agencies

The following are staffing agencies that focus at least some of their energy towards finding and placing laboratory personnel and management, including medical technologists, medical laboratory technicians, medical laboratory scientists, cytotechnologists, histotechnologists, phlebotomists, and laboratory directors.

5.8.1 National (U.S.) and global

5.8.2 Regional (U.S.)


5.9 Laboratory billing and revenue enhancement

These businesses are known to provide revenue management and improvement services to laboratories. Additionally, a handful of these businesses may also offer their own laboratory billing software solutions in addition providing billing services.

Citation information for this chapter

Chapter: 5. Final thoughts and additional resources

Title: The Comprehensive Guide to Physician Office Laboratory Setup and Operation

Author for citation: Shawn E. Douglas

License for content: Creative Commons Attribution-ShareAlike 4.0 International

Publication date: June 2022