The purpose of CLIA '88 is to certify that all laboratory testing, wherever done, is done accurately and according to good scientific practices and to offer assurance to the community that access to safe, accurate laboratory testing is accessible. The capability to make this guarantee has become even more crucial as knowledge of the influence of medical errors has reached both the medical and public arenas (13). One of the essential components identified as necessary to ensure high-quality test results for patients was employee training and competency. Thus, CLIA '88 set forth requirements for performance and documentation of initial personnel training and ongoing assessment of competency