Sec. 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 10.47.04.03; 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 10.10.03.02B 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.