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CAP Home > CAP Accreditation and Laboratory Improvement > e-Alert Archives > Revised CAP Requirements Regarding Policies and Procedures

  Revised CAP Requirements
  Regarding Policies and Procedures


Posted April 14, 2011

Dear CAP Accreditation Participant:

With the July 2011 CAP Accreditation Checklists release, two significant revisions to policy and procedure review will be published:

  1. The responsibility for review of new and/or substantially revised requirements will be restricted to the Laboratory Director whose name appears on the CLIA certificate. This responsibility can no longer be delegated, and
  2. The responsibility for annual review of policies and procedures by the Laboratory Director, or designee will be required once every two years instead of annually.

Review of New Policies and Procedures

Annual Review of Existing Policies and Procedures

As a service to CAP Accredited laboratories, the CAP offers compliance alerts to help your laboratory maintain continuous compliance.

Thank you for your commitment to patient safety.

Questions? Contact us at 800-323-4040 or by email at

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