42 CFR §493.1423
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
Each individual performing moderate complexity testing must—
- (a)Possess a current license issued by the State in which the laboratory is located, if such licensing is required; and
- (b)Meet one of the following requirements:
- (1)Be a doctor of medicine or doctor of osteopathy licensed to practice medicine or osteopathy in the State in which the laboratory is located; or
- (2)Have earned a doctoral, master's, or bachelor's degree in a chemical, biological, clinical or medical laboratory science, or medical technology, or nursing from an accredited institution; or
- (3)Meet the requirements in § 493.1405(b)(3)(i)(B), (b)(4)(i)(B) or (C), or (b)(5)(i)(B); or
- (4)Have earned an associate degree in a chemical, biological, clinical or medical laboratory science, or medical laboratory technology or nursing from an accredited institution; or
- (5)Be a high school graduate or equivalent and have successfully completed an official military medical laboratory procedures course of at least a duration of 50 weeks and have held the military enlisted occupational specialty of Medical Laboratory Specialist (Laboratory Technician); or
- (6)
- (i)Have earned a high school diploma or equivalent; and
- (ii)Have documentation of laboratory training appropriate for the testing performed prior to analyzing patient specimens. Such training must ensure that the individual has—
- (A)The skills required for proper specimen collection, including patient preparation, if applicable, labeling, handling, preservation or fixation, processing or preparation, transportation, and storage of specimens;
- (B)The skills required for implementing all standard laboratory procedures;
- (C)The skills required for performing each test method and for proper instrument use;
- (D)The skills required for performing preventive maintenance, troubleshooting, and calibration procedures related to each test performed;
- (E)A working knowledge of reagent stability and storage;
- (F)The skills required to implement the quality control policies and procedures of the laboratory;
- (G)An awareness of the factors that influence test results; and
- (H)The skills required to assess and verify the validity of patient test results through the evaluation of quality control sample values prior to reporting patient test results.
- (7)For blood gas analysis, the individual must— (i) Be qualified under paragraph (b)(1), (2), (3), (4), (5), or (6) of this section; or
- (8)Notwithstanding any other provision of this section, an individual is considered qualified as a testing personnel under this section if they were qualified and serving as a testing personnel for moderate complexity testing in a CLIA-certified laboratory as of December 28, 2024, and have done so continuously since December 28, 2024.