Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 10 - LABORATORIES
Chapter 10.10.05 - Medical Laboratories-Proficiency Testing
Section 10.10.05.02 - Discipline, Specialty, and Subspecialty
Universal Citation: MD Code Reg 10.10.05.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. Primary Standard. A licensee operating under a permit shall ensure that the laboratory participates successfully in PT, when applicable, for each test or analyte in each of the following disciplines, subdisciplines, and specialties:
(1) Microbiology, including the
subdisciplines of:
(a) Bacteriology,
(b) Mycobacteriology,
(c) Mycology,
(d) Parasitology, and
(e) Virology;
(2) Immunology, including the subdisciplines
of:
(a) General immunology,
(b) General serology, and
(c) Syphilis serology;
(3) Chemistry, including the subdisciplines
of:
(a) Blood gas analysis,
(b) Endocrinology,
(c) Routine chemistry, and
(d) Toxicology;
(4) Genetics, including the subdisciplines
of:
(a) Biochemical genetics,
(b) Cytogenetics, and
(c) Molecular genetics;
(5) Hematology, including the subdisciplines
of:
(a) Coagulation testing, and
(b) Routine hematology;
(6) Pathology, including the subdiscipline of
gynecologic cytology;
(7)
Immunohematology, including the specialties of:
(a) ABO group and D(Rho) typing,
(b) Unexpected antibody detection, that is,
antibody screen,
(c) Antibody
identification, and
(d)
Compatibility testing; and
(8) Forensic toxicology limited to
job-related alcohol and controlled dangerous substances.
B. Discipline Standards.
(1) General. A licensee operating under a
permit shall ensure that the laboratory meets the applicable PT standards set
forth in this chapter and in 42 CFR §§ 493.821-
493.865.
(2) Gynecologic Cytology. A licensee
operating under a permit to perform gynecologic cytology shall ensure that the
laboratory enrolls and maintains successful participation in:
(a) A cytology PT program operated by the
Secretary if the laboratory is located inside this State; or
(b) A cytology PT program approved by CMS if
the laboratory is located outside this State.
(3) Job-Related Testing.
(a) A licensee operating under a permit to
perform job-related testing for alcohol or controlled dangerous substances
shall ensure that the laboratory enrolls and continues to participate
satisfactorily, when applicable, in one or more of the programs listed in
§B(3)(b)-(e) of this regulation.
(b) Screening Tests. A licensee operating
under a permit to perform screening tests for job-related alcohol and
controlled dangerous substances shall ensure that the laboratory enrolls and
participates satisfactorily in:
(i) The
American Association of Bioanalysts (AAB) Urine Toxicology Screening
survey;
(ii) The American
Association for Clinical Chemistry/College of American Pathologists (AACC/CAP)
Forensic Urine Drug Testing Screening survey; or
(iii) Another program approved by the
Secretary as set forth in Regulation .03 of this chapter.
(c) Confirmation Tests. A licensee operating
under a permit to perform confirmation tests for job-related alcohol and
controlled dangerous substances shall ensure that the laboratory enrolls and
participates satisfactorily in:
(i) The
AACC/CAP Forensic Urine Drug Testing Confirmatory survey;
(ii) The federal Substance Abuse and Mental
Health Services Administration's Federal Workplace Drug Testing Program;
or
(iii) Another program approved
by the Secretary as set forth in Regulation .03 of this chapter.
(d) Blood Alcohol Tests. A
licensee operating under a permit to perform tests for alcohol in blood shall
ensure that the laboratory enrolls and participates satisfactorily in:
(i) The AACC/CAP survey for whole blood
alcohol or serum alcohol, or both; or
(ii) Another program approved by the
Secretary as set forth in Regulation .03 of this chapter.
(e) Hair Analysis. A licensee operating under
a permit to perform tests for a controlled dangerous substance in hair shall
ensure that the laboratory enrolls and participates satisfactorily in:
(i) The State of Florida's P.T. program for
drug testing in hair; or
(ii)
Another program that possesses standards set by the Secretary or that are
equivalent to the State of Florida's PT program for drug testing in hair and is
approved by the Secretary as set forth in Regulation .03 of this
chapter.
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