Sec. 10.10.13.18. Testing — Second-Tier and Supplemental

A. When a test request is made by an individual authorized to request a laboratory test, as set out in COMAR 10.10.06.02:

(1) A permittee other than the Department's public health laboratory may perform a second-tier or supplemental test; and

(2) The Department's public health laboratory may perform a second-tier test.

B. A permittee:

(1) May not contract out, subcontract, or otherwise transfer supplemental or second-tier testing to another laboratory that does not hold a Maryland permit in the discipline of diagnostic and supplemental testing for hereditary and congenital disorders in newborns;

(2) Shall complete a second-tier or supplemental test on a blood-spot specimen within 3 working days after the blood-spot specimen arrives at the laboratory; and

(3) Shall report the results of a second-tier or supplemental screening test as required in Regulations .23 and .24 of this chapter.