Md. Code Regs. 10.10.06.02

Current through Register Vol. 51, No. 26, December 27, 2024

Section 10.10.06.02 - Authorization to Request Laboratory Tests

A. Primary Standard. A laboratory may not perform a laboratory test, except under a health awareness permit or cholesterol permit, without obtaining written or electronic authorization from:

(1) A court of law;

(2) A doctor of medicine, osteopathy, podiatric medicine, or dentistry; or

(3) Another person authorized to order laboratory tests under the Annotated Code of Maryland.

B. Other Authorized Persons. Other persons authorized to order laboratory tests include:

(1) A nurse midwife certified by the Maryland State Board of Nursing under COMAR 10.27.05;

(2) A nurse practitioner certified by the Maryland State Board of Nursing under COMAR 10.27.07;

(3) A physician's assistant, as authorized by the physician's assistant's supervising physician;

(4) A chiropractor requesting a test on blood or urine;

(5) An employer requesting a job-related test for alcohol or controlled dangerous substances;

(6) Clinical staff who:

(a) Meets the qualifications set forth in COMAR 10.47.01.06D ;

(b) Is employed by a substance abuse treatment program that is certified or accredited in accordance with COMAR 10.47.04.03D ; and

(c) Is authorized to order tests to detect the presence of controlled dangerous substances on patients enrolled in the substance abuse treatment program; and

(7) A pharmacist, for tests that qualify for a letter of exception under COMAR 10.10.03.02BB and for glucose, A1c, lipids (including total cholesterol, HDL, LDL, and triglycerides), AST, and ALT.

C. Standards. A licensee shall ensure that the laboratory meets the applicable standards concerning test requisition contained in 42 CFR § 493.1241.

Md. Code Regs. 10.10.06.02

Regulations .02, Physicians' Group Practice Laboratories in Maryland, repealed effective August 6, 1990 (17:15 Md. R. 1859)
Regulations .02, Physician Office and Other Point-of-Care Laboratories, adopted effective August 6, 1990 (17:15 Md. R. 1859)
Regulation .02A amended effective July 22, 2002 (29:14 Md. R. 1074); April 1, 2013 (40:6 Md. R. 473)
Regulation .02B amended effective April 16, 2012 (39:7 Md. R. 492)
Regulation .02C amended effective June 1, 2009 (36:11 Md. R. 787)