Laboratories holding a New York State clinical laboratory permit in the category appropriate to the testing performed may offer FDA-approved (PMA), FDA-cleared (510K), FDA-exempted tests; tests holding an FDA Emergency Use Authorization (EUA), Investigation Use Only tests that hold an FDA Investigational Device Exemption, standard methods and legacy assays. No notification is required.
A standard method is defined as an assay that has an established record of reliability and clinical validity, and which employs a standardized protocol that is universally applied in laboratories that employ the method for the analyte, such application being consistent with industry standards recognized by leading authorities in laboratory science. These are, in general, methods in use prior to FDA’s 1976 Medical Device Amendments.
A legacy assay is an assay that was in use in the laboratory prior to April 24, 2003. Laboratories are required to verify or establish performance specifications for any test system. However, submission for review of Standard Operating Procedures Manuals and validation for any test system used by the laboratory prior to April 24, 2003 is not required, unless specifically requested. This is in accordance with the CLIA interpretive guidelines published by the Centers for Medicare and Medicaid Services for the establishment and verification of performance standards (§493.1253(a)).
Laboratories adding any of the test types listed above which necessitates the addition of a new permit category on the permit must submit both the category via eCLEP on the Health Commerce System (HCS). An eCLEP Permit Materials Manual is available for reference. Please see above for Adding or Deleting a Permit Category. Note that the laboratory may not offer this testing on NYS specimens until an amended permit to include the new permit category is issued.
Laboratories adding a non-FDA-Approved/Cleared test, (aka Laboratory-developed test), please refer to the Test Approval page.
A list of common tests/analytes/procedures, cross-referenced with the Department's testing categories is available.