Category / Standard

ISO 15189: complete guide, articles and resources

Medical Laboratories — expert articles, practical resources, and solutions to structure your certification project.

Version
ISO 15189:2022
Type
Accreditation standard
Articles
16 published
Definition

What is the ISO 15189 standard?

The ISO 15189 standard sets out the requirements for quality and competence of medical laboratories. Published in 2003 and revised in 2022, it is the global benchmark for accrediting clinical and medical laboratories.

The standard covers the full medical examination process: pre-analytical phase (request, collection, transport), analytical phase (testing, interpretation, validation), and post-analytical phase (reporting, archiving, critical result communication). It integrates ethics, patient confidentiality, and clinical responsibility.

In the US, ISO 15189 accreditation is offered by CAP, A2LA, and COLA, often alongside CLIA certification (which is a separate regulatory requirement). The 2022 version strengthens requirements around risk management, patient safety, and point-of-care testing (POCT).

Who is ISO 15189 for?

The standard targets medical (clinical) laboratories, both public and private, hospital and reference labs, and point-of-care testing (POCT) services in hospital departments.

Why get certified?

ISO 15189 accreditation strengthens clinical credibility, complements CLIA certification in the US, conditions participation in regulated programs and large payer networks, provides international recognition, and improves examination quality for patients and clinicians.

Version
ISO 15189:2022
Certified
CAP, A2LA, COLA accreditation in the US
Validity
Varies by accreditation
Avg. timeline
12 to 24 months
Articles & guides

All our articles on ISO 15189

Frequently asked questions

Everything you need to know about ISO 15189

What's new in ISO 15189:2022?
The 2022 version strengthens requirements around clinical risk management, patient safety, biological reference intervals, and point-of-care testing (POCT). It also clarifies the integration between the medical lab and clinical workflows.
Difference between ISO 15189 and CLIA?
CLIA is a US federal regulatory requirement (mandatory) for clinical laboratory testing. ISO 15189 is an international accreditation standard (voluntary in the US, sometimes mandatory in other countries). Many US labs pursue both — CLIA for legal operation, ISO 15189 for international recognition and quality.
Difference between ISO 15189 and ISO 17025?
ISO 17025 covers all testing and calibration laboratories generically. ISO 15189 is specific to medical laboratories and adds clinical requirements (interpretation, sample collection, patient communication chain).
How much does ISO 15189 accreditation cost?
For a mid-sized clinical laboratory, expect $15,000 to $50,000 for initial accreditation depending on test menu and number of locations.
How long does ISO 15189 accreditation take?
Expect 12 to 24 months. The duration is long due to method validation, proficiency testing requirements, and full document then on-site assessment.

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