1. (1) The four categories of clinical laboratories are:

   1. (a) A waived laboratory which may perform only the following; dipstick or tablet reagent urinalysis (nonautomated), fecal occult blood, ovulation test-visual color comparison tests for human luteinizing hormone, urine pregnancy test-visual color comparison tests, erythrocyte sedimentation rate (nonautomated), hemoglobin-copper sulfate (nonautomated), blood glucose (by glucose monitoring devices cleared by the U.S. Food and Drug Administration specifically for home use), spun microhematocrit, and hemoglobin and glucose by Hemocue, Chemtrak Accumeter cholesterol, body fluid occult blood, nitrazine pH paper for all body fluids except blood or any other tests which are categorized as waived for clinical laboratories, by the U.S. Department of Health and Human Services (HHS) and the U.S. Centers for Disease Control and Prevention:

      1. (A) A waived laboratory is exempt from personnel requirements, proficiency testing and routine on-site inspections.
      2. (B) A waived laboratory shall follow manufacturer’s instructions for test performance.

   2. (b) A physician performed microscopy procedure laboratory which may perform only tests in the waived category and the following: wet mounts (for presence or absence of bacteria, fungi, parasites and human cellular elements), all potassium hydroxide (KOH) preparations, pinworm examinations, fern tests, post-coital direct examinations of vaginal or cervical mucus, nasal smears for granulocytes, qualitative post-vasectomy semen analysis limited to presence or absence of sperm and motility, fecal leukocyte examinations, and urine sediment examinations, or any other tests which are categorized as provider-performed microscopy procedures for clinical laboratories, by the U.S. Department of Health and Human Services (HHS)and the U.S. Centers for Disease Control and Prevention:

      1. (A) A physician performed microscopy laboratory is exempt from routine on-site inspections;
      2. (B) A physician performed microscopy laboratory shall follow manufacturer’s instructions for test performance; and
      3. (C) A physician performed microscopy laboratory shall meet the applicable requirements for quality control, proficiency testing, quality assurance, records and reports.
   3. (c) A moderate complexity laboratory which may perform waived, physician performed microscopy procedures, and tests identified as moderate complexity by the U.S. Department of Health and Human Services (HHS) and the U.S. Centers for Disease Control and Prevention;
   4. (d) A high complexity laboratory which may perform all categories of testing including the specialties of cytogenetics, cytology, pathology, histocompatibility and radiobioassay.
2. (2) Any test not listed in the waived, physician performed microscopy procedures or moderate complexity category is high complexity.
3. (3) The category of any test may be obtained from the Public Health Division.

Statutory/Other Authority

ORS 438.040

Statutes/Other Implemented

ORS 438.040

History

PH 21-2026, amend filed 05/20/2026, effective 05/21/2026
HD 6-1995, f. & cert. ef. 9-13-95
HD 20-1994, f. & cert. ef. 7-20-94