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CLIA Requirements for Analytical Quality
The tables below contain information on CLIA proficiency testing criteria for acceptable analytical performance, as printed in the Federal Register February 28, 1992;57(40):7002-186. These guidelines for acceptable performance can be used as Analytical Quality Requirements in the Westgard QC Design and Planning process.
Routine Chemistry
Test or Analyte
Acceptable Performance
Alanine aminotransferase
Target value ± 20%
Albumin
Target value ± 10%
Alkaline phosphatase
Target value ± 30%
Amylase
Target value ± 30%
Aspartate aminotransferase (AST)
Target value ± 20%
Bilirubin, total
Target value ± 0.4 mg/dL or ± 20% (greater)
Blood gas p02
Target value ± 3 SD
Blood gas pCO2
Target value ± 5 mm Hg or ± 8% (greater)
Blood gas pH
Target value ± 0.04
Calcium, total
Target value ± 1.0 mg/dL
Chloride
Target value ± 5%
Cholesterol, total
Target value ± 10%
Cholesterol, high dens. lipoprotein
Target value ± 30%
Creatine kinase
Target value ± 30%
Creatine kinase isoenzymes
MB elevated (present or absent) or Target value ± 3 SD Creatinine
Creatinine
Target value ± 0.3 mg/dL or ± 15% (greater)
Glucose
Target value ± 6 mg/dL or ± 10% (greater)
Iron, total
Target value ± 20%
Lactate dehydrogenase (LDH)
Target value ± 20%
LDH isoenzymes
LDH1/LDH2 (+ or -) or Target value ± 30%
Magnesium
Target value ± 25%
Potassium
Target value ± 0.5 mmol/L
Sodium
Target value ± 4 mmol/L
Total protein
Target value ± 10%
Triglycerides
Target value ± 25%
Urea Nitrogen
Target value ± 2 mg/dL or ± 9% (greater)
Uric acid
Target value ± 17%
Toxicology
Alcohol, blood
Target value ± 25%
Blood lead
Target value ± 10% or ± 4 mcg/dL (greater)
Carbamazepine
Target value ± 25%
Digoxin
Target value ± 20% or ± 0.2 ng/mL (greater)
Ethosuximide
Target value ± 20%
Gentamicin
Target value ± 25%
Lithium
Target value ± 0.3 mmol/L or ± 20% (greater)
Phenobarbital
Target value ± 20%
Phenytoin
Target value ± 25%
Primidone
Target value ± 25%
Procainamide (and metabolite)
Target valu
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