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==Sandbox begins below==
==Sandbox begins below==
Operation of a [[physician office laboratory]] (POL) requires expertise, just like any other laboratory. But how should they be staffed, and what sort of education requirements should the staff have? This chapter addresses those questions and also provides additional resources for staffing a POL.


<div align="center">-----Return to [[LII:The Comprehensive Guide to Physician Office Laboratory Setup and Operation|the beginning]] of this guide-----</div>
==1. Introduction to manufacturing laboratories==
__TOC__
According to McKinsey & Company, the U.S. manufacturing industry represents only 11 percent of U.S. gross domestic product (GDP) and eight percent of direct employment, yet it "makes a disproportionate economic contribution, including 20 percent of the nation’s capital investment, 35 percent of productivity growth, 60 percent of exports, and 70 percent of business R&D spending."<ref name="CarrDeliver22">{{cite web |url=https://www.mckinsey.com/capabilities/operations/our-insights/delivering-the-us-manufacturing-renaissance |title=Delivering the US manufacturing renaissance |author=Carr, T.; Chewning, E.; Doheny, M. et al. |work=McKinsey & Company |date=29 August 2022 |accessdate=24 March 2023}}</ref> These categories of economic contribution are important as many of them indirectly point to how the work of [[Laboratory|laboratories]] is interwoven within the manufacturing industry. As we'll discuss later in this chapter, manufacturing-based laboratories primarily serve three roles: research and development (R&D), pre-manufacturing and manufacturing, and post-production regulation and security (e.g., through exports and trade). We can be sure that if U.S. manufacturers' efforts represent huge chunks of total business R&D spending, trade, and capital expenditure (capex), a non-trivial amount of laboratory effort is associated with that spending. Why? Because R&D, trade, and manufacturing [[quality control]] (QC) activities rarely can occur without laboratories backing up their work.<ref>{{Cite journal |last=Ischi |first=H. P. |last2=Radvila |first2=P. R. |date=1997-01-17 |title=Accreditation and quality assurance in Swiss chemical laboratories |url=http://link.springer.com/10.1007/s007690050092 |journal=Accreditation and Quality Assurance |volume=2 |issue=1 |pages=36–39 |doi=10.1007/s007690050092 |issn=0949-1775}}</ref><ref>{{Cite book |last=Crow |first=Michael M. |last2=Bozeman |first2=Barry |date=1998 |title=Limited by design: R&D laboratories in the U.S. national innovation system |url=https://books.google.com/books?hl=en&lr=&id=OVPZvqz2e6UC |chapter=Chapter 1: The Sixteen Thousand: Policy Analysis, R&D Laboratories, and the National Innovation System |publisher=Columbia University Press |place=New York |pages=1–40 |isbn=978-0-585-04137-7}}</ref><ref>{{Cite journal |last=Grochau |first=Inês Hexsel |last2=ten Caten |first2=Carla Schwengber |date=2012-10 |title=A process approach to ISO/IEC 17025 in the implementation of a quality management system in testing laboratories |url=http://link.springer.com/10.1007/s00769-012-0905-3 |journal=Accreditation and Quality Assurance |language=en |volume=17 |issue=5 |pages=519–527 |doi=10.1007/s00769-012-0905-3 |issn=0949-1775}}</ref><ref>{{Cite journal |last=Ribeiro, À.S.; Gust, J.; Vilhena, A. et al. |year=2019 |title=The role of laboratories in the international development of accreditation |url=https://www.imeko.info/index.php/proceedings/7687-the-role-of-laboratories-in-the-international-development-of-accreditation |journal=Proceedings of the 16th IMEKO TC10 Conference "Testing, Diagnostics & Inspection as a comprehensive value chain for Quality & Safety" |pages=56–9}}</ref>
==5. Staffing and Education Requirements==


===General staffing and education===
Labs in the manufacturing sector provide vital services, including but not limited to [[quality assurance]] (QA), QC, production control, regulatory trade control (e.g., authenticity and adulteration), safety management, label claim testing, and packaging analysis. These activities occur in a wide array of manufacturing industries. Looking to the North American Industry Classification System (NAICS), employed by the U.S. Bureau of Labor Statistics (BLS), manufacturing industries and sub-industries include<ref name="BLSManufact23">{{cite web |url=https://www.bls.gov/iag/tgs/iag31-33.htm |title=Manufacturing: NAICS 31-33 |work=Industries at a Glance |publisher=U.S. Bureau of Labor Statistics |date=24 March 2023 |accessdate=24 March 2023}}</ref>:
Subpart M of the [[Clinical Laboratory Improvement Amendments]] (CLIA) details requirements and responsibilities for laboratory personnel, consultants, supervisors, and directors.<ref name="CLIARegsM">{{cite web |url=https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-493 |title=Title 42: Public Health, Part 493 — Laboratory Requirements |publisher=U.S. Government Publishing Office |date=13 May 2022 |accessdate=17 May 2022}}</ref> The exception to this is a laboratory with a certificate of waiver, where personnel requirements and proficiency testing is not required. However, manufacturers' instructions must still be carefully followed, and only CLIA-waived tests may be performed by the personnel.


For non-waived laboratories, the following resources provide paraphrasing of [https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-493 CLIA Subpart M]:
*apparel (e.g., knitted goods, cut-and-sew clothing, buttons and clasps)
*chemical (e.g., pesticides, fertilizers, paints, cleaning products, adhesives, electroplating solutions)
*electric power (e.g., light bulbs, household appliances, energy storage cells, transformers)
*electronics (e.g., sensors, semiconductors, electrodes, mobile phones, computers)
*food and beverage (e.g., baked goods, probiotics, preservatives, wine)
*furniture (e.g., mattresses, sofas, window blinds, light fixtures)
*leather (e.g., purses, saddles, footwear, bookbinding hides)
*machinery (e.g., mining augers, air conditioning units, turbines, lathes)
*materials (e.g., ceramics, cements, glass, nanomaterials)
*medical equipment and supplies (e.g., ventilators, implants, lab equipment, prosthetics, surgical equipment)
*metal forming and casting (e.g., steel beams, aluminum ingots, shipping containers, hand tools, wire)
*paper and printing (e.g., cardboard, sanitary items, stationery, books, bookbinding papers)
*petrochemical (e.g., solvents, fuel additives, biofuels, lubricants)
*pharmaceutical and medicine (e.g., antivenom, vaccines, lab-on-a-chip diagnostic tests, cannabis products, nutraceuticals)
*plastics and rubbers (e.g., dinnerware, tires, storage and shelving, outdoor furniture)
*textiles (e.g., carpeting, upholstery, bulk fabric, yarn)
*vehicular and aerospace (e.g., electric vehicles, reusable rocketry, railroad rolling stock, OEM auto parts)
*wood (e.g., plywood, flooring, lumber, handrails)


* [https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/clia/personnel-requirements.html American Academy of Family Physicians - Personnel Requirements]
If you've ever used a sophisticated two-part epoxy adhesive to repair a pipe crack, used an indoor sun lamp, gotten a lot of mileage out of a pair of leather gloves, received a medical implant, taken a medication, eaten a Twinkie, or ridden on Amtrak, one or more laboratories were involved somewhere in the manufacturing process before using that item. From endless research and testing of prototypes to various phases of quality and safety testing, laboratory science was involved. The importance of the laboratory in manufacturing processes can't be understated.
* [https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/clia/lab-director-duties.html American Academy of Family Physicians - Physician Office Laboratory (POL) Director Duties]
* [http://www.labflorida.com/internal/COLA/guides/LabGuide4.pdf Commission on Office Laboratory Accreditation (COLA) - Personnel for Non-waived Testing] (PDF)
* [https://www.lighthouselabservices.com/state-license/ Lighthouse Lab Services - Laboratory State License and Personnel & Facility License Info]


In some cases, state governments apply additional regulations and responsibilities to clinical laboratories and their personnel. According to consultancy Lighthouse Lab Services, the following states have staffing, education, and licensing requirements beyond that of CLIA<ref name="LSUCLic">{{cite web |url=https://www.lighthouselabservices.com/state-license/ |title=State-by-State Laboratory Licensing Information |publisher=LMSI, LLC |accessdate=17 May 2022}}</ref>:
But what of the history of the manufacturing-focused lab? What of the roles played and testing conducted in them? What do they owe to safety and quality? This chapter more closely examines these questions and more.


* California: [https://www.cdph.ca.gov/Programs/OSPHLD/LFS/Pages/AboutUs.aspx Department of Public Health - Laboratory Field Services]
* Connecticut: [https://portal.ct.gov/DPH/Communications/Regulation--Licensure/Regulation--Licensure Department of Public Health - Regulation & Licensure]
* Florida: [https://floridasclinicallabs.gov/licensing/ Board of Clinical Laboratory Personnel - Licensing] and [https://ahca.myflorida.com/mchq/health_facility_regulation/Lab_HomeServ/non-waived_apps.shtml Agency for Health Care Administration - Laboratory and In-Home Services Unit]
* Georgia: [https://dch.georgia.gov/divisionsoffices/healthcare-facility-regulation Georgia Department of Community Health - Healthcare Facility Regulation]
* Hawaii: [https://health.hawaii.gov/statelab/ Department of Health - State Laboratories Division]
* Louisiana: [https://www.lsbme.la.gov/licensure/clinical-laboratory-personnel State Board of Medical Examiners - Clinical Laboratory Personnel]
* Montana: [https://boards.bsd.dli.mt.gov/clinical-laboratory-science-practitioners/ Department of Labor and Industry - Montana Board of Clinical Laboratory Science Practitioners]
* Nevada: [https://dpbh.nv.gov/Reg/MedicalLabs/Medical_Laboratories_-_Home/ Nevada Division of Public and Behavioral Health - Medical Laboratory Services]
* New Hampshire: [https://www.dhhs.nh.gov/doing-business-dhhs/licensing-certification/health-facilities-administration Department of Health and Human Services - Health Facilities Administration]
* New Jersey: [https://www.nj.gov/health/phel/ Department of Health - Public Health and Environmental Laboratories]
* New York: [https://www.wadsworth.org/regulatory/clep Department of Health - Clinical Laboratory Evaluation Program] and [http://www.op.nysed.gov/prof/clt/ Education Department - Clinical Laboratory Technology]
* North Dakota: [https://www.ndclinlab.com/ North Dakota Board of Clinical Laboratory Practice]
* Rhode Island: [https://health.ri.gov/licenses/detail.php?id=210 Department of Health - Healthcare Licensing]
* Tennessee: [https://www.tn.gov/health/health-program-areas/health-professional-boards/medlab-board/ml-board/licensure.html Department of Health - Medical Laboratory Board]
* Washington: [https://doh.wa.gov/licenses-permits-and-certificates/facilities-z/laboratory-quality-assurance Department of Health - Laboratory Quality Assurance]
* West Virginia: [https://dhhr.wv.gov/healthprep/programs/laboratory/Pages/default.aspx Department of Health and Human Resources - Office of Laboratory Services]


===List of clinical certification and accreditation opportunities===
===1.1 Manufacturing labs, then and now===
* [https://www.aab.org/aab/AAB_Board_of_Registry.asp American Association of Bioanalysts]: The AAB Board of Registry (ABOR) offers five different certifications, including medical technologist (MT) and medical laboratory technician (MLT).
In 1852, the ''Putnam's Home Cyclopedia: Hand-Book of the Useful Arts'' was published as a dictionary-like source of scientific terms. Its definition of a laboratory at that time in U.S. history is revealing (for more on the equipment typically described with a laboratory of that time period, see the full definition)<ref name="AntisellPutnamArts52">{{cite book |url=https://books.google.com/books?id=vsI0AAAAMAAJ&pg=PA284 |title=Putnam's Home Cyclopedia: Hand-Book of the Useful Arts |author=Antisell, T. |publisher=George P. Putnam |volume=3 |pages=284-5 |year=1852 |accessdate=31 March 2023}}</ref>:
* [https://www.aab.org/aab/Application-Fees.asp American Board of Bioanalysts]: ABB offers several laboratory director certifications.
* [https://www.ashi-hla.org/page/ACHI American College of Histocompatibility and Immunogenetics]: The ACHI provides certifications for histocompatability technologists and directors.
* [https://americanmedtech.org/Certification/Get-Certified American Medical Technologists]: The AMT offers several laboratory-related certifications, including medical technologist (MT) and medical laboratory technician (MLT).
* [https://www.ascp.org/content/board-of-certification/get-credentialed American Society for Clinical Pathology]: The ASCP offers four levels of certification, with numerous subcategories in all but the Diplomate Certification. The four main levels are Technician, Technologist, Specialist, and Diplomate.
* [https://www.ncctinc.com/certifications National Commission of Certifying Agencies]: The NCCT offers several certifications, including medical assistant (NCMA) and phlebotomy technician (NCPT).
* [https://www.nhanow.com/certification National Healthcareer Association]: The NHA offers several certifications, including clinical medical assistant (CCMA) and phlebotomy technician (CPT).
* [https://www.nationalphlebotomy.org/ National Phlebotomy Association]: The NPA offers a certification for phlebotomists.


===Laboratory accreditation programs===
<blockquote>'''Laboratory'''. The workshop of a chemist. Some laboratories are intended for private research, and some for the manufacture of chemicals on the large scale. Hence it is almost impossible to give a description of the apparatus and disposition of a laboratory which would be generally true of all. A manufacturing laboratory necessarily occupies a large space, while that of the scientific man is necessarily limited to a peculiar line of research. Those who study in organic chemistry have different arrangements than that of the mineral analyst.</blockquote>
* [https://a2la.org/accreditation/clinical-testing/ A2LA]: "Accredits clinical laboratories to five comprehensive accreditation program"
* [https://www.aabb.org/standards-accreditation/accreditation Association for the Advancement of Blood & Biotherapies]: AABB has an accreditation program for blood and biobanking facilities.
* [https://www.cola.org/ COLA]: Formerly the Commission on Office Laboratory Accreditation; a non-profit accreditor of medical laboratories
* [https://www.cap.org/laboratory-improvement/accreditation/laboratory-accreditation-program College of American Pathologists]: CAP offers a laboratory accreditation program that "accredits laboratories performing testing on specimens from human beings or animals, using methodologies and clinical application within the expertise of the program."
* [https://www.jointcommission.org/accreditation-and-certification/health-care-settings/laboratory-services/ The Joint Commission]: Provides a variety of accreditation and certification programs for healthcare entities, including laboratories
* [http://www.naacls.org/accreditation/ National Accrediting Agency for Clinical Laboratory Sciences]: The NAACLS accredits and approved educational programs in the clinical laboratory sciences.


===List of educational programs===
This definition highlights the state of laboratories at the time: typically you either had a small private laboratory for experiments in the name of research and development (R&D) and producing prototype solutions, or you had a slightly larger "manufacturing laboratory" that was responsible for the creation of chemicals, reagents, or other substances for a wider customer base.<ref name="AntisellPutnamArts52" /><ref name="PorterTheChem30">{{cite book |url=https://books.google.com/books?id=zy8aAAAAYAAJ&pg=PA17&dq=manufacturing+laboratory |title=The Chemistry of the Arts; being a Practical Display of the Arts and Manufactures which Depend on Chemical Principles |chapter=Chemistry Applied to the Arts |author=Porter, A.L. |publisher=Carey & Lea |year=1830 |pages=17–18 |accessdate=06 April 2023 |quote=The larger laboratories, or workshops, which are used only in particular branches of business, and the necessary apparatus attached to them, will be considered under the several substances which are prepared in them. Besides the workshop, every operative chemist ought to devote some part of his premises as a small general elaboratory, fitted up with some furnaces and other apparatus as may enable him to make any experiment seemingly applicable to the improvement of his manufacturing process without loss of time, and immediately upon its inception.}}</ref><ref name="MarshSpeech46">{{cite book |url=https://books.google.com/books?id=ptg-AAAAYAAJ&pg=PA11&dq=manufacturing+laboratory |title=Speech of Mr. Marsh, of Vermont, on the Hill for Establishing the Smithsonian Institution, Delivered in The House of Representatives of the U. States, April 22, 1846 |author=Marsh, G. P. |publisher=J. & G.S. Gideon |year=1846 |page=11 |accessdate=06 April 2023 |quote=How are new substances formed, or the stock of a given substance increased, by the chemistry of nature or of art? By new combinations or decompositions of known and pre-existing elements. The products of the experimental or manufacturing laboratory are no new creations; but their elements are first extracted by the decomposition of old components, and then recombined in new forms.}}</ref> These laboratory types date back further than the mid-1800s, to be sure, though they also saw great change leading up to and after this time period. This is best characterized by the transition from the humble apothecary lab to the small-scale manufacturing laboratory before the mid-1800s, to the full-scale pharmaceutical manufacturing lab and facility well beyond the mid-1800s.
====Higher-education====
{|
| STYLE="vertical-align:top;"|
{| class="wikitable collapsible sortable" border="1" cellpadding="5" cellspacing="0" width="60%"
|-
  ! colspan="4"| Higher-education programs
|-
  ! style="color:brown; background-color:#ffffee;"| School
  ! style="color:brown; background-color:#ffffee;"| Location
  ! style="color:brown; background-color:#ffffee;"| Program
  ! style="color:brown; background-color:#ffffee;"| Description
|-
  | style="font-weight: bold; padding-left:10px;"|Albany College of Pharmacy and Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Albany)
  | style="background-color:white; padding-left:10px;"|[https://www.acphs.edu/clinical-laboratory-sciences Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. in Clinical Laboratory Sciences
|-
  | style="font-weight: bold; padding-left:10px;"|Allen College
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Waterloo)
  | style="background-color:white; padding-left:10px;"|[https://www.allencollege.edu/medical-laboratory-science-mls.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students receive the Bachelor of Health Sciences degree with a MLS major and qualify for MLS certification upon completion of program requirements. This option is also possible for those who already have an associate's or baccalaureate degree and have completed all general education courses."
|-
  | style="font-weight: bold; padding-left:10px;"|Andrews University
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Chicago)
  | style="background-color:white; padding-left:10px;"|[https://www.andrews.edu/chhs/mls/programs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: First- and second-degree Bachelor in MLS; certificate in MLS; Affiliate Guest Student Clinical (Senior) Year; Bachelor of Science in Allied Health Administration
|-
  | style="font-weight: bold; padding-left:10px;"|Arizona State University
  | style="background-color:white; padding-left:10px;"|U.S. - AZ (Phoenix)
  | style="background-color:white; padding-left:10px;"|[https://chs.asu.edu/programs/applied-science-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The BAS program in applied science with a concentration in medical laboratory sciences provides the academic knowledge and professional skills that enable students to advance their employment opportunities within the fields of medical technology, cytology, clinical laboratory science and related areas."
|-
  | style="font-weight: bold; padding-left:10px;"|Armstrong State University
  | style="background-color:white; padding-left:10px;"|U.S. - GA (Savannah)
  | style="background-color:white; padding-left:10px;"|[https://chp.georgiasouthern.edu/diagnostic/programs/medical-laboratory-science/Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Armstrong offers the Bachelor of Science in Medical Laboratory Science in three tracks: Traditional, MLT to MLS Online, and MLS Online Fast Track (for South Carolina residents only).
|-
  | style="font-weight: bold; padding-left:10px;"|Auburn University at Montgomery
  | style="background-color:white; padding-left:10px;"|U.S. - AL (Montgomery)
  | style="background-color:white; padding-left:10px;"|[https://www.aum.edu/nursingandhealth/academic-departments-2/medical-and-clinical-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science.
|-
  | style="font-weight: bold; padding-left:10px;"|Augustana College
  | style="background-color:white; padding-left:10px;"|U.S. - SD (Sioux Falls)
  | style="background-color:white; padding-left:10px;"|[https://www.augie.edu/academics/majors-and-programs/medical-laboratory-science-and-health-professional-programs Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The school offers [http://augie.smartcatalogiq.com/2019-2020/2019-2020-Undergraduate-General-Catalog/Academic-Program/Medical-Laboratory-Science two plans] for earning a B.S. in Medical Laboratory Science.
|-
  | style="font-weight: bold; padding-left:10px;"|Austin Community College District
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Austin)
  | style="background-color:white; padding-left:10px;"|[https://sites.austincc.edu/health/mlab/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a Medical Laboratory Technology Associate of Applied Science (AAS) degree
|-
  | style="font-weight: bold; padding-left:10px;"|Austin Peay State University
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Clarksville)
  | style="background-color:white; padding-left:10px;"|[https://www.apsu.edu/medical-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science.
|-
  | style="font-weight: bold; padding-left:10px;"|Baptist Health Sciences University
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Memphis)
  | style="background-color:white; padding-left:10px;"|[https://www.baptistu.edu/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science.
|-
  | style="font-weight: bold; padding-left:10px;"|Bellarmine University
  | style="background-color:white; padding-left:10px;"|U.S. - KY (Louisville)
  | style="background-color:white; padding-left:10px;"|[https://www.bellarmine.edu/health-professions/undergraduate/bachelor-of-health-science-in-medical-lab-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers three Bachelor of Health Science degree tracks in MLS: 4-Year Practitioner Track, 4-Year Pre-professional Track, and an Accelerated Second Degree
|-
  | style="font-weight: bold; padding-left:10px;"|Bemidji State University
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Bemidji)
  | style="background-color:white; padding-left:10px;"|[https://www.bemidjistate.edu/academics/departments/biology/courses-programs/medical-laboratory-science-b-s/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers two B.S. tracks: 3+1 and 4+1
|-
  | style="font-weight: bold; padding-left:10px;"|Boise State University
  | style="background-color:white; padding-left:10px;"|U.S. - ID (Boise)
  | style="background-color:white; padding-left:10px;"|[https://www.boisestate.edu/preprofessional/pathways/clinical-labs/ Pre-medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Pre-professional studies is designed for students who need to have undergraduate studies prior to applying to a professional school."
|-
  | style="font-weight: bold; padding-left:10px;"|Bradley University
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Peoria)
  | style="background-color:white; padding-left:10px;"|[https://www.bradley.edu/academic/colleges/las/interprograms/medlab/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science.
|-
  | style="font-weight: bold; padding-left:10px;"|Brigham Young University
  | style="background-color:white; padding-left:10px;"|U.S. - UT (Provo)
  | style="background-color:white; padding-left:10px;"|[https://mmbio.byu.edu/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students declare a Pre-MLS Major and are accepted into the program in their Junior year. Once in the program, students have two semesters of intensive coursework after which they intern in a clinical facility for six months."
|-
  | style="font-weight: bold; padding-left:10px;"|British Columbia Institute of Technology
  | style="background-color:white; padding-left:10px;"|Canada - BC (Burnaby)
  | style="background-color:white; padding-left:10px;"|[https://www.bcit.ca/programs/medical-laboratory-science-diploma-full-time-6615dipma/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Two-and-a-half year, full-time, Diploma program ... Students are ready to write the national certification exam upon graduation."
|-
  | style="font-weight: bold; padding-left:10px;"|Cambrian College
  | style="background-color:white; padding-left:10px;"|Canada - ON (Sudbury)
  | style="background-color:white; padding-left:10px;"|[https://cambriancollege.ca/programs/medical-laboratory-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Six-semester program; "Graduates are eligible to write the national certification examinations conducted by the Canadian Society for Medical Laboratory Sciences (CSMLS)."
|-
  | style="font-weight: bold; padding-left:10px;"|Canisius College
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Buffalo)
  | style="background-color:white; padding-left:10px;"|[https://www.canisius.edu/academics/programs/undergraduate/clinical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...three years of campus-based classroom and lab work, one year of a hands-on internship in an accredited hospital laboratory."
|-
  | style="font-weight: bold; padding-left:10px;"|Carolinas College of Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - NC (Charlotte)
  | style="background-color:white; padding-left:10px;"|[https://atriumhealth.org/education/carolinas-college-of-health-sciences/academic-programs/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science program is a 12-month program that prepares graduates to be a successful entry-level medical laboratory scientist. Didactic lectures and student laboratory training take place at the college, with clinical experiences conducted in the laboratories of Atrium Health."
|-
  | style="font-weight: bold; padding-left:10px;"|Centennial College
  | style="background-color:white; padding-left:10px;"|Canada - ON (Scarborough)
  | style="background-color:white; padding-left:10px;"|[https://www.centennialcollege.ca/programs-courses/full-time/medical-laboratory-technician/ Medical Laboratory Technician Program]
  | style="background-color:white; padding-left:10px;"|"Credential: Ontatio College Certificate; Program Type: Post-secondary program; Program Length: 1 year/ 3 semesters"
|-
  | style="font-weight: bold; padding-left:10px;"|Central New Mexico Community College
  | style="background-color:white; padding-left:10px;"|U.S. - NM (Albuquerque)
  | style="background-color:white; padding-left:10px;"|[https://www.cnm.edu/programs-of-study/programs-a-z/medical-laboratory-sciences Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Medical Laboratory Technician, Associate of Applied Science; Phlebotomy Technician, Certificate of Achievement
|-
  | style="font-weight: bold; padding-left:10px;"|Central of Southern Nevada
  | style="background-color:white; padding-left:10px;"|U.S. - NV (Las Vegas)
  | style="background-color:white; padding-left:10px;"|[https://www.csn.edu/archived/programs/medical-laboratory Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: AAS in Medical Laboratory Technician, BAS in Medical Laboratory Science, Certificate in Phlebotomy
|-
  | style="font-weight: bold; padding-left:10px;"|College of the North Atlantic
  | style="background-color:white; padding-left:10px;"|Canada - NL (St. John's)
  | style="background-color:white; padding-left:10px;"|[https://www.cna.nl.ca/program/medical-laboratory-technology Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The curriculum for this program is designed to encompass three years of training ... Graduates of the program at the Prince Philip Drive Campus will be eligible to sit the certification examination set by the Canadian Society for Medical Laboratory Science (CSMLS)."
|-
  | style="font-weight: bold; padding-left:10px;"|Dalhousie University
  | style="background-color:white; padding-left:10px;"|Canada - NS (Halifax)
  | style="background-color:white; padding-left:10px;"|[https://www.dal.ca/faculty/health/health-sciences/programs/post-diploma-bhsc-program/medical-laboratory-technology.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The post-diploma BHSc curriculum in Medical Laboratory Technololgy is equivalent to 2 years of full time university study (a total of 60 credit hours or 20 courses)."
|-
  | style="font-weight: bold; padding-left:10px;"|East Carolina University
  | style="background-color:white; padding-left:10px;"|U.S. - NC (Greenville)
  | style="background-color:white; padding-left:10px;"|[https://clinicallaboratoryscience.ecu.edu/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Clinical Laboratory Science (CLS). A dual-degree program in CLS and biology also available.
|-
  | style="font-weight: bold; padding-left:10px;"|Eastern Kentucky University
  | style="background-color:white; padding-left:10px;"|U.S. - KY (Richmond)
  | style="background-color:white; padding-left:10px;"|[https://mls.eku.edu/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Our department offers an accredited program leading to a Bachelor of Science degree (BS) in Medical laboratory Science."
|-
  | style="font-weight: bold; padding-left:10px;"|Eastern Michigan University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Ypsilanti)
  | style="background-color:white; padding-left:10px;"|[https://www.emich.edu/chhs/health-sciences/programs/clinical-lab-sciences/index.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The CLS program at EMU offers four concentrations, each leading to a bachelor's degree. Three of the four concentrations require a six- to 12-month clinical practicum in an affiliated hospital during the senior year."
|-
  | style="font-weight: bold; padding-left:10px;"|Emory Healthcare
  | style="background-color:white; padding-left:10px;"|U.S. - GA (Atlanta)
  | style="background-color:white; padding-left:10px;"|[https://www.emoryhealthcare.org/careers/medical-technology.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program is designed to prepare students (already holding a bachelor's degree) for the national Medical Laboratory Science certifying examination by the American Society for Clinical Pathology (ASCP). Students are awarded a certificate in Medical Laboratory Science from the EHC MLS upon successful completion of the program."
|-
  | style="font-weight: bold; padding-left:10px;"|Ferris State University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Big Rapids)
  | style="background-color:white; padding-left:10px;"|[https://www.ferris.edu/health-professions/DLTS/Bachelors/Medical-Laboratory-Science/index.htm Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Florida Gulf Coast University
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Fort Myers)
  | style="background-color:white; padding-left:10px;"|[https://www.fgcu.edu/mariebcollege/healthsciences/clinicallaboratoryscience-bs Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers both a B.S. in Clinical Laboratory Science (CLS) and a certificate in CLS
|-
  | style="font-weight: bold; padding-left:10px;"|George Mason University
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Fairfax)
  | style="background-color:white; padding-left:10px;"|[https://science.gmu.edu/academics/departments-units/biology/medical-laboratory-science-bs Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Medical Laboratory Science, with concentrations in Molecular Biology or Microbiology
|-
  | style="font-weight: bold; padding-left:10px;"|George Washington University
  | style="background-color:white; padding-left:10px;"|U.S. - DC (Washington)
  | style="background-color:white; padding-left:10px;"|[https://mls.smhs.gwu.edu/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a wide variety of bachelor's, post-bachelor's, and master's programs in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Augusta University
  | style="background-color:white; padding-left:10px;"|U.S. - GA (Augusta)
  | style="background-color:white; padding-left:10px;"|[https://www.augusta.edu/academics/clinical-lab-science.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S. in Clinical Laboratory Sciences (CLS), as well as B.S. in CLS with military specialization
|-
  | style="font-weight: bold; padding-left:10px;"|Grand Valley State University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Allendale)
  | style="background-color:white; padding-left:10px;"|[https://www.gvsu.edu/acad-view.htm?pdfId=044BA7A3-0FD9-1768-4300A4019A95BB48 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Graduates receive a Bachelor of Science (B.S.) degree in MLS. Students spend five semesters completing their general education and core science courses, followed by three semesters of MLS professional courses ... After admission to the program, students complete professional coursework, which also includes 18 weeks of clinical rotations at an affiliated hospital laboratory. MLS is a secondary admission program."
|-
  | style="font-weight: bold; padding-left:10px;"|Heritage University
  | style="background-color:white; padding-left:10px;"|U.S. - WA (Toppenish)
  | style="background-color:white; padding-left:10px;"|[https://www.heritage.edu/academic-paths/undergraduate-degrees/medical-laboratory-science-program/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. and certificate in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Houston Methodist
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Houston)
  | style="background-color:white; padding-left:10px;"|[https://www.houstonmethodist.org/education/allied-health/medical-laboratory-science-education-program/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Houston Methodist Hospital Medical Laboratory Science Program is a 12-month professional course of study, which is fully accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). Upon successful completion of this course of study, you will qualify for the examination and certification by the board of certification of the American Society of Clinical Pathology (ASCP)."
|-
  | style="font-weight: bold; padding-left:10px;"|Howard University
  | style="background-color:white; padding-left:10px;"|U.S. - DC (Washington)
  | style="background-color:white; padding-left:10px;"|[https://cnahs.howard.edu/departments/clinical-laboratory-sciences Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Our four-year curriculum for the bachelor’s degree is divided into two sections: the Lower Division and Upper Division."
|-
  | style="font-weight: bold; padding-left:10px;"|Hunter College
  | style="background-color:white; padding-left:10px;"|U.S. - NY (New York)
  | style="background-color:white; padding-left:10px;"|[https://hunter-undergraduate.catalog.cuny.edu/departments/MLS-HTR/overview Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Two academic degrees for undergraduates are offered: the BS in Medical Laboratory Sciences: Biomedical Science and the BS in Medical Laboratory Sciences: Clinical Science. Both majors emphasize laboratory training through classroom work."
|-
  | style="font-weight: bold; padding-left:10px;"|Idaho State University
  | style="background-color:white; padding-left:10px;"|U.S. - ID (Pocatello)
  | style="background-color:white; padding-left:10px;"|[https://www.isu.edu/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Illinois State University
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Normal)
  | style="background-color:white; padding-left:10px;"|[https://healthsciences.illinoisstate.edu/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science
|- 
  | style="font-weight: bold; padding-left:10px;"|Immaculata University
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Immaculata)
  | style="background-color:white; padding-left:10px;"|[https://www.immaculata.edu/academics/degrees-programs/allied-health-b-s-undergraduate-studies/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Allied Health, with a concentration in Medical Laboratory Science
|- 
  | style="font-weight: bold; padding-left:10px;"|Indiana State University
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Terre Haute)
  | style="background-color:white; padding-left:10px;"|[https://catalog.indstate.edu/preview_program.php?catoid=24&poid=4137&returnto=619 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Biology with Specialization in Medical Laboratory Science Major (3-plus-1 Program) ... Fourth-year students accepted to the clinical courses register as full-time ISU students and, upon successful completion of the 12-month program, receive the 32-34 credit hours that are required for completion of the bachelor of science degree."
|-
  | style="font-weight: bold; padding-left:10px;"|Lincoln Memorial University
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Harrogate)
  | style="background-color:white; padding-left:10px;"|[https://www.lmunet.edu/school-of-medical-sciences/mls/index Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Loma Linda University
  | style="background-color:white; padding-left:10px;"|U.S. - CA (Loma Linda)
  | style="background-color:white; padding-left:10px;"|[https://alliedhealth.llu.edu/academics/clinical-laboratory-science-cls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Clinical Laboratory Science, as well as a Phlebotomy certificate
|-
  | style="font-weight: bold; padding-left:10px;"|Long Island University
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Brookville)
  | style="background-color:white; padding-left:10px;"|[https://www.liu.edu/CWPost/Academics/Schools/SHPN/Dept/Biomedical/Undergraduate-Programs/BS-BS-CLS Medical Laboratory Science Program - B.S.]<br />[https://www.liu.edu/CWPost/Academics/Schools/SHPN/Dept/Biomedical/Graduate-Programs/MS-CLS Medical Laboratory Science Program - M.S.]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|Louisiana State University of Alexandria
  | style="background-color:white; padding-left:10px;"|U.S. - LA (Alexandria)
  | style="background-color:white; padding-left:10px;"|[https://www.lsua.edu/academics/colleges/college-of-health-human-services/allied-health/degree-programs Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. (3+1), B.S. (MLT-LMS), and Associate's in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Marquette University
  | style="background-color:white; padding-left:10px;"|U.S. - WI (Milwaukee)
  | style="background-color:white; padding-left:10px;"|[https://www.marquette.edu/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Marshall University
  | style="background-color:white; padding-left:10px;"|U.S. - WV (Huntington)
  | style="background-color:white; padding-left:10px;"|[https://www.marshall.edu/clinical-laboratory-science/programs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Options: Associate of Applied Science in Medical Laboratory Science (AAS-MLT) and Online Bachelor of Science in Medical Laboratory Science (BS MLS)
|-
  | style="font-weight: bold; padding-left:10px;"|Marywood University
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Scranton)
  | style="background-color:white; padding-left:10px;"|[https://www.marywood.edu/science/majors/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students may spend three years at Marywood University fulfilling the university requirements and those of the National Accrediting Agency for Clinical Laboratory Science (NAACLS). In this program, the students spend the fourth year at an accredited school of MLS, gaining theoretical and practical experience in the field of MLS."
|-
  | style="font-weight: bold; padding-left:10px;"|Mayo School of Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Rochester) and FL (Jacksonville)
  | style="background-color:white; padding-left:10px;"|[https://college.mayo.edu/academics/health-sciences-education/medical-laboratory-science-program-florida-and-minnesota/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science program at Mayo Clinic offers a 10.5 month training program, consisting of classroom lectures and hands-on clinical rotations. The entire program earns the student 35 academic credit hours ... Upon successful completion of this program, you receive a certificate of completion from Mayo Clinic School of Health Sciences. Students enrolled in the 3+1 program receive a certificate in medical laboratory science from the Mayo Clinic School of Health Sciences and a baccalaureate degree from their home institution. Students enrolling in the 4+1 post-baccalaureate program receive a certificate in medical laboratory science from the Mayo Clinic School of Health Sciences."
|-
  | style="font-weight: bold; padding-left:10px;"|McNeese State University
  | style="background-color:white; padding-left:10px;"|U.S. - LA (Lake Charles)
  | style="background-color:white; padding-left:10px;"|[https://catalog.mcneese.edu/preview_program.php?catoid=11&poid=1613&returnto=442 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The curriculum consists of 120 semester hours. The first three years (81 hours) are completed on campus while the final year or clinical internship (39 hours) requires students to participate in web-based courses, campus lectures, and medical laboratory instruction."
|-
  | style="font-weight: bold; padding-left:10px;"|Mercy College of Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Des Moines)
  | style="background-color:white; padding-left:10px;"|[https://www.mchs.edu/Academics/Certificate-Programs/Medical-Laboratory-Science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Our three-semester Medical Laboratory Science (MLS) certificate offers one start date per year in the fall and includes intensive classroom instruction and clinical laboratory experiences."
|-
  | style="font-weight: bold; padding-left:10px;"|Metropolitan State University of Denver
  | style="background-color:white; padding-left:10px;"|U.S. - CO (Denver)
  | style="background-color:white; padding-left:10px;"|[https://www.msudenver.edu/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Colorado Center for Medical Laboratory Science, a program of Metropolitan State University of Denver, offers post BS-level professional education in Medical Laboratory Science."
|-
  | style="font-weight: bold; padding-left:10px;"|Miami Dade College
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Miami)
  | style="background-color:white; padding-left:10px;"|[https://www.mdc.edu/medicaltechnology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"This two-year Associate in Science degree program prepares students to work as part of the health care delivery team in a hospital, private clinical laboratory, or research laboratory ... The program requires a total of 76 credits, including general education requirement courses. This program offers a day track and evening track."
|-
  | style="font-weight: bold; padding-left:10px;"|Miami University
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Oxford)
  | style="background-color:white; padding-left:10px;"|[https://programs.miamioh.edu/program/medical-laboratory-science-bs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|The university offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Michener Institute
  | style="background-color:white; padding-left:10px;"|Canada - ON (Toronto)
  | style="background-color:white; padding-left:10px;"|[https://michener.ca/program/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Michener offers an advanced diploma (seven semesters across three years) in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Michigan State University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (East Lansing)
  | style="background-color:white; padding-left:10px;"|[https://bld.natsci.msu.edu/academics/undergraduate-programs/medical-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The medical laboratory science (MLS) major does that with 14 credits of courses earned in residence at affiliated laboratories in Michigan and Ohio – total credits = 134."
|-
  | style="font-weight: bold; padding-left:10px;"|Michigan Technological University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Houghton)
  | style="background-color:white; padding-left:10px;"|[https://www.mtu.edu/biological/undergraduate/medical/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science program is all about options - and with two degree concentrations, students can choose the route that best suits them. "
|-
  | style="font-weight: bold; padding-left:10px;"|Minnesota State Community and Technical College
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Ferguson Falls)
  | style="background-color:white; padding-left:10px;"|[https://www.minnesota.edu/programs-and-degrees/medical-laboratory-technology#Medical_Laboratory_Technology Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"M State's 60-credit Associate in Science degree in Medical Laboratory Technology prepares students for lab technician positions ... The two-year program  includes three semesters of general education, science and MLT courses, followed by 16 weeks of clinical experience in an affiliate hospital laboratory."
|- 
  | style="font-weight: bold; padding-left:10px;"|Minnesota State University - Mankato
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Mankato)
  | style="background-color:white; padding-left:10px;"|[https://www.mnsu.edu/academics/academic-catalog/undergraduate/medical-laboratory-science/medical-laboratory-science-bs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Minot State University
  | style="background-color:white; padding-left:10px;"|U.S. - ND (Minot)
  | style="background-color:white; padding-left:10px;"|[https://www.minotstateu.edu/enroll/programs/medical-lab-science.shtml Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The medical laboratory science (MLS) program at Minot State University consists of courses designed to give you the necessary scientific background to enter clinical training at an accredited hospital laboratory. Three years of academic coursework will be completed at Minot State. Then, through an affiliation with the University of North Dakota (UND), you will spend 12 months in a clinical internship at one of the many participating accredited hospitals as a member of the Western College Alliance for MLS. Successful completion of the program results in a BS degree, and upon passing board exams, the title medical laboratory technologist."
|-
  | style="font-weight: bold; padding-left:10px;"|Monmouth University (and Rutgers)
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (West Long Branch/Newark)
  | style="background-color:white; padding-left:10px;"|[https://www.monmouth.edu/department-of-chemistry/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students majoring in Medical Laboratory Science complete 96 credits of collegiate work at Monmouth University, prescribed by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS), followed by a twelve-month internship in an affiliated NAACLS-approved hospital."
|-
  | style="font-weight: bold; padding-left:10px;"|Montana State University
  | style="background-color:white; padding-left:10px;"|U.S. - MT (Bozeman)
  | style="background-color:white; padding-left:10px;"|[http://www.montana.edu/mbi/mmlstp/AbouttheProgram.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students train during the summer at MSU and then move to one of eight hospitals for two semesters of clinical laboratory rotations. The program requires tuition and lab fees and students receive 37 credits over three semesters." 3+1 and 4+1 plans available.
|-
  | style="font-weight: bold; padding-left:10px;"|Mount Mercy University
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Cedar Rapids)
  | style="background-color:white; padding-left:10px;"|[https://www.mtmercy.edu/academics/programs/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Through our unique and challenging 3+1 program, you’ll graduate with a full year of professional lab experience through an affiliated hospital, allowing you to complete your studies in four years rather than the typical five."
|-
  | style="font-weight: bold; padding-left:10px;"|North Dakota State University
  | style="background-color:white; padding-left:10px;"|U.S. - ND (Fargo)
  | style="background-color:white; padding-left:10px;"|[https://www.ndsu.edu/alliedsciences/programs/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Your path to a bachelor's of science degree with a major in Medical Laboratory Science (MLS) includes three years of academic coursework, and an 11- to 12-month professional class and clinical experience/ internship within one of NDSU's affiliated hospital programs. All affiliated programs are accredited by the National Accrediting Agency for Clinical Laboratory Science (NAACLS). "
|-
  | style="font-weight: bold; padding-left:10px;"|Northeastern State University
  | style="background-color:white; padding-left:10px;"|U.S. - OK (''Various'')
  | style="background-color:white; padding-left:10px;"|[https://catalog.nsuok.edu/preview_program.php?catoid=15&poid=1369&returnto=449 Medical Laboratory Technician Program 1]<br />[https://catalog.nsuok.edu/preview_program.php?catoid=15&poid=1370&returnto=449 Medical Laboratory Technician Program 2]
  | style="background-color:white; padding-left:10px;"|Offerings: 2+2 and 3+1 B.S.
|-
  | style="font-weight: bold; padding-left:10px;"|Northern College
  | style="background-color:white; padding-left:10px;"|Canada - ON (South Porcupine)
  | style="background-color:white; padding-left:10px;"|[https://www.northernc.on.ca/medical-laboratory-technician/ Medical Laboratory Technician Program]
  | style="background-color:white; padding-left:10px;"|"Credential Earned: Ontario College Certificate; Program Length: 3 Semesters"
|-
  | style="font-weight: bold; padding-left:10px;"|Northern Illinois University
  | style="background-color:white; padding-left:10px;"|U.S. - IL (DeKalb)
  | style="background-color:white; padding-left:10px;"|[https://www.chhs.niu.edu/health-studies/programs/mls/index.shtml Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers traditional B.S. in MLS as well as a degree completion program
|-
  | style="font-weight: bold; padding-left:10px;"|Northwestern College
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Orange City)
  | style="background-color:white; padding-left:10px;"|[http://catalog.nwciowa.edu/preview_program.php?catoid=8&poid=1150&returnto=224 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program is based upon three years of college preparatory work and one year in clinical, professional training at one of several hospital-based programs affiliated with Northwestern College. Upon satisfactory completion of the four years of study, the student will receive the Bachelor of Arts degree with a major in medical laboratory science."
|-
  | style="font-weight: bold; padding-left:10px;"|Ohio Northern University
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Ada)
  | style="background-color:white; padding-left:10px;"|[https://www.onu.edu/academics/medical-laboratory-sciences Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"We offer a NAACLS accredited bachelor’s degree program and a post-baccalaureate certificate program in medical laboratory science. Both programs include biology, chemistry, organic chemistry and anatomy courses and emphasize hands-on learning."
|-
  | style="font-weight: bold; padding-left:10px;"|Ohio State University
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Columbus)
  | style="background-color:white; padding-left:10px;"|[https://hrs.osu.edu/academics/undergraduate-programs/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers several certification and post-graduate options in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Oklahoma Christian University
  | style="background-color:white; padding-left:10px;"|U.S. - OK (Edmond)
  | style="background-color:white; padding-left:10px;"|[https://www.oc.edu/academics/undergraduate-programs/medical-laboratory-science/b-s-degree-in-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor's program; "The major consists of three years of university work, plus two semesters of Medical Laboratory Science Program courses."
|-
  | style="font-weight: bold; padding-left:10px;"|Oregon Tech
  | style="background-color:white; padding-left:10px;"|U.S. - OR (Wilsonville)
  | style="background-color:white; padding-left:10px;"|[https://www.oit.edu/academics/degrees/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor of Science in Medical Laboratory Science (BS MLS) is offered through a joint partnership between Oregon Tech and Oregon Health and Science University (OHSU) ... To make sure our graduates are adept and self-assured professionals, BS MLS students participate in an extensive externship program. This clinical experience, includes an on campus simulated lab completed before students participate in 12 weeks of applied study and training in clinical laboratories."
|-
  | style="font-weight: bold; padding-left:10px;"|Pennsylvania College of Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - PN (Lancaster)
  | style="background-color:white; padding-left:10px;"|[https://www.pacollege.edu/academics/health-sciences-certificate-programs/medical-laboratory-scientist-certificate/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a certificate in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Phoenix College
  | style="background-color:white; padding-left:10px;"|U.S. - AZ (Phoenix)
  | style="background-color:white; padding-left:10px;"|[https://www.phoenixcollege.edu/degrees-certificates/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers an AAS and certificate in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Providence Sacred Heart School of Medical Technology
  | style="background-color:white; padding-left:10px;"|U.S. - WA (Spokane)
  | style="background-color:white; padding-left:10px;"|[https://gme.providence.org/washington/dental-pastoral-and-laboratory-programs/laboratory-medicine-education-programs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a certificate program that serves as the "+1" of a 3+1 or 4+1 B.S. program
|-
  | style="font-weight: bold; padding-left:10px;"|Purdue University
  | style="background-color:white; padding-left:10px;"|U.S. - IN (West Lafayette)
  | style="background-color:white; padding-left:10px;"|[https://www.purdue.edu/hhs/hsci/students/undergraduate/majors/mlab.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"3 years plus 1 year clinical (application required for clinical)"
|-
  | style="font-weight: bold; padding-left:10px;"|Quinnipiac University
  | style="background-color:white; padding-left:10px;"|U.S. - CT (New Haven)
  | style="background-color:white; padding-left:10px;"|[https://www.qu.edu/schools/health-sciences/programs/masters-degree/biomedical-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The comprehensive examination in medical laboratory sciences (2 credits) is a requirement for the non-thesis option in the Biomedical Sciences program."
|-
  | style="font-weight: bold; padding-left:10px;"|Red River College
  | style="background-color:white; padding-left:10px;"|Canada - MB (Winnipeg)
  | style="background-color:white; padding-left:10px;"|[https://catalogue.rrc.ca/Programs/WPG/FullTime/MELAF-AD Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a twenty-eight (28) month advanced diploma in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|Rush University
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Chicago)
  | style="background-color:white; padding-left:10px;"|[https://www.rushu.rush.edu/college-health-sciences/academic-programs/master-science-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|Rutgers
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (Newark)
  | style="background-color:white; padding-left:10px;"|[https://shp.rutgers.edu/clinical-lab-and-imaging-sciences/bachelor-of-science-medical-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Our 45-credit curriculum begins in the summer semester. It can be taken full-time in four semesters, or part-time in eight semesters. It is located on the Newark campus, with some didactic components offered online. On and off-campus practical experiences complement classroom instruction."
|-
  | style="font-weight: bold; padding-left:10px;"|Saginaw Valley State University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (University City)
  | style="background-color:white; padding-left:10px;"|[https://www.svsu.edu/medicallaboratoryscience/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program consists of two and one half years of general education and medical laboratory science program prerequisites, including supporting courses in biology and chemistry. The last semester of the third year and the entire fourth year of study consist of the professional phase courses of the program."
|-
  | style="font-weight: bold; padding-left:10px;"|SAIT Polytechnic
  | style="background-color:white; padding-left:10px;"|Canada - AB (Calgary)
  | style="background-color:white; padding-left:10px;"|[https://www.sait.ca/programs-and-courses/diplomas/medical-laboratory-technology Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Two-year diploma including clinical practica
|-
  | style="font-weight: bold; padding-left:10px;"|Salisbury University
  | style="background-color:white; padding-left:10px;"|U.S. - MD (Salisbury)
  | style="background-color:white; padding-left:10px;"|[https://www.salisbury.edu/academic-offices/health-and-human-services/health-sciences/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Medical Laboratory Science, as well as several associated minors
|-
  | style="font-weight: bold; padding-left:10px;"|San Francisco State University
  | style="background-color:white; padding-left:10px;"|U.S. - CA (San Francisco)
  | style="background-color:white; padding-left:10px;"|[https://cls.sfsu.edu/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"SF State's Clinical Laboratory Science (CLS) Internship Program offers a 14-month full-time program that combines 16 weeks of lecture and laboratory instruction on the campus, followed by a 40-week off-campus internship at an affiliated clinical laboratory site. Completion of the internship program is required for eligibility to national board certification examinations and the California Clinical Laboratory Scientist license."
|-
  | style="font-weight: bold; padding-left:10px;"|Saskatchewan Polytechnic
  | style="background-color:white; padding-left:10px;"|Canada - SK (Saskatoon)
  | style="background-color:white; padding-left:10px;"|[https://saskpolytech.ca/programs-and-courses/programs/Medical-Laboratory-Technology.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Medical Laboratory Technology is a nationally accredited two-and-a-half-year diploma program offered at Saskatchewan Polytechnic in Saskatoon ... Graduates are eligible to write the Canadian Society for Medical Laboratory Science (CSMLS) General Medical Laboratory Technology certification exam. This entitles you to work anywhere in Canada and to register as a licensed Medical Laboratory Technologist with the Saskatchewan Society of Medical Laboratory Technologists (SSMLT)."
|-
  | style="font-weight: bold; padding-left:10px;"|Shoreline Community College
  | style="background-color:white; padding-left:10px;"|U.S. - WA (Shoreline)
  | style="background-color:white; padding-left:10px;"|[https://www.shoreline.edu/programs/medical-laboratory-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers both an AAS and certificate in Medical Laboratory Technology
|-
  | style="font-weight: bold; padding-left:10px;"|South Dakota State University
  | style="background-color:white; padding-left:10px;"|U.S. - SD (Brookings)
  | style="background-color:white; padding-left:10px;"|[http://www.sdstate.edu/pha/MLS/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The major in Medical Laboratory Science is designed for entry into the Medical Technology professions at graduation, contingent upon certification by National Registry Examination ... The student must complete an internship at the Sanford USD Medical Center in Sioux Falls, South Dakota.  This 12-month internship program requires formal application and acceptance."
|-
  | style="font-weight: bold; padding-left:10px;"|Southwest Minnesota State University
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Marshall)
  | style="background-color:white; padding-left:10px;"|[http://www.smsu.edu/catalog/?program=53 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...a two-year upper division Bachelor of Science degree program that prepares students for careers in medical laboratory science or related fields"
|-
  | style="font-weight: bold; padding-left:10px;"|St. Clair College
  | style="background-color:white; padding-left:10px;"|Canada - ON (Windsor)
  | style="background-color:white; padding-left:10px;"|[http://www.stclaircollege.ca/programs/postsec/medlab/ Medical Laboratory Science Program] [http://www.stclaircollege.ca/programs/postsec/medlab_tech/ Medical Laboratory Technician Program]
  | style="background-color:white; padding-left:10px;"|MLS: "Three Year - Ontario College Advanced Diploma"; MLT: "One Year - Ontario College Certificate (delivered in less than 1 year)"
|-
  | style="font-weight: bold; padding-left:10px;"|St. Cloud State University
  | style="background-color:white; padding-left:10px;"|U.S. - MN (St. Cloud)
  | style="background-color:white; padding-left:10px;"|[https://www.stcloudstate.edu/healthsciences/medLabScience/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a 3+1 or 2+2 bachelor program
|-
  | style="font-weight: bold; padding-left:10px;"|St. Edward's University
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Austin)
  | style="background-color:white; padding-left:10px;"|[https://www.stedwards.edu/undergraduate/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor of Science in Medical Laboratory Science (MLS) employs exploratory project-based learning to prepare students for careers in medicine and research. The degree involves a minimum of six semesters of coursework at St. Edward’s University and one year of clinical training at an affiliated MLS program (currently Austin State Hospital)."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Francis University
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Loretto)
  | style="background-color:white; padding-left:10px;"|[http://catalog.francis.edu/preview_program.php?catoid=7&poid=1408 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor of Health Science degree with a concentration in Medical Laboratory Science (B.H.S.M.L.S.) is a degree completion program designed to provide professional development and educational options for Medical Laboratory Technicians (MLTs)."
|-
  | style="font-weight: bold; padding-left:10px;"|St. John's University
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Queens)
  | style="background-color:white; padding-left:10px;"|[http://www.stjohns.edu/academics/schools-and-colleges/college-pharmacy-and-health-sciences/programs-and-majors/clinical-laboratory-sciences-bachelor-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor of Science degree with a major in Clinical Laboratory Sciences is designed to prepare graduates to become highly trained clinical laboratory technologists."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Lawrence College
  | style="background-color:white; padding-left:10px;"|Canada - ON (Kingston)
  | style="background-color:white; padding-left:10px;"|[https://www.stlawrencecollege.ca/programs-and-courses/full-time/programs/a_m/medical-laboratory-science/kingston/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Program Duration: 3 Years; Graduates of the program wishing to work in Canada as a certified medical laboratory technologist must successfully complete the Canadian Society for Medical Laboratory Science (CSMLS) national certification exam."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Philip's College
  | style="background-color:white; padding-left:10px;"|U.S. - TX (San Antonio)
  | style="background-color:white; padding-left:10px;"|[https://www.alamo.edu/spc/mlt/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Technician Program is an integrated curriculum which leads to an Associate's of Applied Science Degree."
|-
  | style="font-weight: bold; padding-left:10px;"|Stevenson University
  | style="background-color:white; padding-left:10px;"|U.S. - MD (Owings Mills)
  | style="background-color:white; padding-left:10px;"|[http://www.stevenson.edu/academics/undergraduate-programs/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Stevenson's Bachelor of Science in Medical Laboratory Science is offered in conjunction with Sinai Hospital of Baltimore. The program consists of two years of prerequisite courses in the basic sciences and liberal arts, a third year of liberal arts and professional courses in laboratory medicine, and a fourth year that integrates professional and clinical practicum courses at the Sinai Hospital campus. Unlike other programs in the state, SU's program includes a management practicum in the fourth year, preparing you for leadership positions."
|-
  | style="font-weight: bold; padding-left:10px;"|Stony Brook University
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Stony Brook)
  | style="background-color:white; padding-left:10px;"|[http://healthtechnology.stonybrookmedicine.edu/programs/clinical/about Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Clinical Laboratory Sciences Program at Stony Brook University is an upper-division program leading to a Bachelor of Science degree." Can be done onsite or online.
|-
  | style="font-weight: bold; padding-left:10px;"|Tarleton State University
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Fort Worth)
  | style="background-color:white; padding-left:10px;"|[http://www.tarleton.edu/medicallab/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Bachelor in Medical Laboratory Science (BS-MLS), Master of Science in Medical Laboratory Sciences (MS-MLS), Health Professions Technology (BAT-HPT), Public Health (BS in PH), Medical Laboratory Technician (AAS-MLT), Histotechnician (AAS-HT)
|-
  | style="font-weight: bold; padding-left:10px;"|Texas Tech University
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Lubbock)
  | style="background-color:white; padding-left:10px;"|[https://www.ttuhsc.edu/sah/cls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The TTUHSC Clinical Laboratory Science program is a 2+2 university-based program which culminates in the Bachelor of Science degree in Clinical Laboratory Science within one of the three optional areas of special emphasis."
|-
  | style="font-weight: bold; padding-left:10px;"|Thomas More College
  | style="background-color:white; padding-left:10px;"|U.S. - KY (Crestview Hills)
  | style="background-color:white; padding-left:10px;"|[http://www.thomasmore.edu/med_science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The first three years of the program are accomplished at Thomas More College and give the student a strong background in biology, chemistry, and the liberal arts. During the third year, the student will apply to the School of Medical Laboratory Science at nearby St. Elizabeth's Medical Center."
|-
  | style="font-weight: bold; padding-left:10px;"|Thomas Jefferson University
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Philadelphia)
  | style="background-color:white; padding-left:10px;"|[http://www.jefferson.edu/university/health_professions/departments/bioscience_technologies/programs/choose_your_program/program_descriptions/medical_laboratory.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor's program?
|-
  | style="font-weight: bold; padding-left:10px;"|Thomas University
  | style="background-color:white; padding-left:10px;"|U.S. - GA (Thomasville)
  | style="background-color:white; padding-left:10px;"|[http://www.thomasu.edu/Content/Default/103/4685/0/medical-laboratory-science/medical-laboratory-science.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor's options: 2+ 2 Online Option or Traditional Campus-Based Program
|-
  | style="font-weight: bold; padding-left:10px;"|University of Alabama at Birmingham
  | style="background-color:white; padding-left:10px;"|U.S. - AL (Birmingham)
  | style="background-color:white; padding-left:10px;"|[https://www.uab.edu/shp/cds/clinical-laboratory-sciences Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|M.S. program: "All applications to the Clinical Laboratory Sciences program are done online through the UAB Graduate School."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Alaska - Anchorage
  | style="background-color:white; padding-left:10px;"|U.S. - AK (Anchorage)
  | style="background-color:white; padding-left:10px;"|[http://www.uaa.alaska.edu/alliedhealth/academics/medicallaboratoryscience/bachelorofscience.cfm Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Associate of Applied Science, Medical Laboratory Technology and Bachelor of Science, Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|University of Alberta
  | style="background-color:white; padding-left:10px;"|Canada - AB (Edmonton)
  | style="background-color:white; padding-left:10px;"|[https://www.med.ualberta.ca/programs/mls/bscmls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...a four-year professional degree program. Students acquire general certification from the Canadian Society for Medical Laboratory Science (CSMLS) and a BSc in Medical Laboratory Science (MLS)."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Arkansas for Medical Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - AR (Little Rock)
  | style="background-color:white; padding-left:10px;"|[http://healthprofessions.uams.edu/programs/laboratorysciences/medicallaboratorysciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The professional program has full-time and part-time tracks. The full-time track requires 17 months to complete. The part-time track allows students a maximum of five (5) semesters to complete the program. The MLT-to-MLS advanced placement track is designed for employed medical laboratory technicians (MLTs) who desire to continue their education within the framework of their home environment. Upon completion of the full-time, part-time, or MLT-to-MLS track the Bachelor of Science degree in Medical Laboratory Sciences is awarded."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Bridgeport
  | style="background-color:white; padding-left:10px;"|U.S. - CT (Bridgeport)
  | style="background-color:white; padding-left:10px;"|[http://www.bridgeport.edu/academics/undergraduate/medical-laboratory-science-bs/curriculum-and-program-requirements/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"A B.S. degree in Medical Laboratory Science provides exciting opportunities for individuals with an interest in science who wish to pursue a career in a health/medical profession or other laboratory-related field ... Completion of the Medical Laboratory Science degree requires 28 weeks of supervised clinical work in a hospital laboratory, provided by our clinical affiliates."
|-
  | style="font-weight: bold; padding-left:10px;"|University of British Columbia
  | style="background-color:white; padding-left:10px;"|Canada - BC (Vancouver)
  | style="background-color:white; padding-left:10px;"|[http://pathology.ubc.ca/educational-programs/bmlsc/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor of Medical Laboratory Science (BMLSc) is an undergraduate science degree in the Faculty of Medicine."
|-
  | style="font-weight: bold; padding-left:10px;"|University of California - Davis
  | style="background-color:white; padding-left:10px;"|U.S. - CA (Davis)
  | style="background-color:white; padding-left:10px;"|[http://www.ucdmc.ucdavis.edu/pathology/education/cls_training_program/information.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|" The CLS Training Program at UC Davis Health System provides trainees with 12-month clinical laboratory science training. After receiving the graduation certificate and successfully passing the ASCP Board of Certification Exam, Medical Laboratory Scientist, MLS (ASCP), the CLS trainee will receive a California license and be eligible to work in a California clinical laboratory."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Central Florida
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Orlando)
  | style="background-color:white; padding-left:10px;"|[http://med.ucf.edu/biomed/academics/undergraduate-programs/bs-medical-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"To earn a Bachelor of Science in Medical Laboratory Sciences, students must achieve a 2.5 GPA in the major courses. The degree is awarded upon completion of the university’s didactic and clinical program. Upon receiving a degree in medical laboratory sciences, graduates are eligible for national certification and State of Florida licensure."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Cincinnati
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Cincinnati)
  | style="background-color:white; padding-left:10px;"|[http://medlabscience.uc.edu/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"University of Cincinnati’s Bachelor of Science in Medical Laboratory Science distance learning program is designed for working Clinical Laboratory Technicians (CLTs) and Medical Laboratory Technicians (MLTs) who hold an associate degree from a NAACLS accredited CLT/MLT program or equivalent coursework and CLT/MLT certification."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Colorado - Colorado Springs
  | style="background-color:white; padding-left:10px;"|U.S. - CO (Colorado Springs)
  | style="background-color:white; padding-left:10px;"|[http://www.uccs.edu/bethel/programs/mls.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The MLS/CLS year generates 43 credit hours and is divided into" a clinical lab as well as a first and second clinical rotation.
|-
  | style="font-weight: bold; padding-left:10px;"|University of Connecticut
  | style="background-color:white; padding-left:10px;"|U.S. - CT (Storrs)
  | style="background-color:white; padding-left:10px;"|[http://www.alliedhealth.uconn.edu/mts/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Options: Undergraduate degree and post-baccalaureate certificate
|-
  | style="font-weight: bold; padding-left:10px;"|University of Deleware
  | style="background-color:white; padding-left:10px;"|U.S. - DE (Newark)
  | style="background-color:white; padding-left:10px;"|[http://www.udel.edu/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Department of Medical Laboratory Sciences offers majors in Medical Laboratory Science, in Medical Diagnostics, and in Medical Diagnostics with a Pre-Physician Assistant concentration, a minor in Medical Diagnostics, as well as Honors Degrees in Medical Laboratory Science and Medical Diagnostics and Honors courses."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Findlay
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Findlay)
  | style="background-color:white; padding-left:10px;"|[http://catalog.findlay.edu/en/current/Undergraduate-Catalog/Major-Requirements/College-of-Health-Professions/Department-of-Diagnostic-Services/Medical-Laboratory-Science-BS Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"A major in medical laboratory science consists of three years at The University of Findlay and a fourth year at a recognized medical laboratory science training program."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Indianapolis
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Indianapolis)
  | style="background-color:white; padding-left:10px;"|[http://www.uindy.edu/cas/chemistry/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The first three years allow you to build a scientific foundation through course prerequisites in organic chemistry, analytical chemistry, general microbiology and immunology. During your junior year, you must apply for admission to one of the clinical training programs offered by our affiliated hospitals..." for a "12-month clinical training program in a hospital laboratory."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Iowa Carver College of Medicine
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Iowa City)
  | style="background-color:white; padding-left:10px;"|[http://www.medicine.uiowa.edu/pathology/education/mlsp/mlsp/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students seeking entry into the Medical Laboratory Sciences Program should take three or more years of prerequisite coursework at the University of Iowa or another college ... Students complete the clinical year in late July. They will receive academic credit from Allen College, a Bachelor of Science degree in Health Sciences as well as a Bachelor of Science degree in Medical Laboratory Sciences from the University of Iowa Carver College of Medicine."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Kansas
  | style="background-color:white; padding-left:10px;"|U.S. - KS (Kansas City)
  | style="background-color:white; padding-left:10px;"|[http://www.kumc.edu/school-of-health-professions/clinical-laboratory-science.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Upon completion of the four-year program, students will have a Bachelor of Science degree in Clinical Laboratory Science with a concentration in molecular biotechnology."
|- 
  | style="font-weight: bold; padding-left:10px;"|University of Kentucky
  | style="background-color:white; padding-left:10px;"|U.S. - KY (Lexington)
  | style="background-color:white; padding-left:10px;"|[http://www.uky.edu/healthsciences/academic-programs/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Track Options: Second B.S. Degree, Transfer Students, Online MLT to MLS
|-
  | style="font-weight: bold; padding-left:10px;"|University of Louisiana at Monroe
  | style="background-color:white; padding-left:10px;"|U.S. - LA (Monroe)
  | style="background-color:white; padding-left:10px;"|[http://www.ulm.edu/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program is a minimum four-year curriculum, which includes a solid foundation in basic sciences, a broad background in medical laboratory science with several specialized courses..."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Mary
  | style="background-color:white; padding-left:10px;"|U.S. - ND (Bismarck)
  | style="background-color:white; padding-left:10px;"|[http://www.umary.edu/academics/programs/medical-laboratory-science.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science bachelor’s degree program at the University of Mary prepares students for careers as medical lab technologists. Graduates of the Medical Laboratory Science bachelor’s program are eligible to take the national examination for certification for medical laboratory science by the American Society of Clinical Pathologists."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Maryland
  | style="background-color:white; padding-left:10px;"|U.S. - MD (Baltimore)
  | style="background-color:white; padding-left:10px;"|[http://medschool.umaryland.edu/dmrt/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Bachelor Degree in MLS and Master of Science Degree in Laboratory Management
|-
  | style="font-weight: bold; padding-left:10px;"|University of Massachusetts - Dartmouth
  | style="background-color:white; padding-left:10px;"|U.S. - MA (Dartmouth)
  | style="background-color:white; padding-left:10px;"|[http://www.umassd.edu/cas/medlab/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"UMass Dartmouth offers a Bachelor of Science Degree in Medical Laboratory Science. All graduates meet requirements for national certification or state licensure. The Department of Medical Laboratory Science offers four options: Clinical Laboratory Science, Cytotechnology, Health Services and Biotechnology."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Massachusetts - Lowell
  | style="background-color:white; padding-left:10px;"|U.S. - MA (Lowell)
  | style="background-color:white; padding-left:10px;"|[https://www.uml.edu/Health-Sciences/CLNS/Programs/med-lab-sci.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Successful completion of the required course sequence results in the awarding of a Bachelor of Science degree."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Minnesota
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Minneapolis)
  | style="background-color:white; padding-left:10px;"|[http://cahp.umn.edu/MLS Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The MLS program at the University of Minnesota is the oldest baccalaureate medical laboratory educational program in the United States..."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Mississippi
  | style="background-color:white; padding-left:10px;"|U.S. - MS (Jackson)
  | style="background-color:white; padding-left:10px;"|[https://www.umc.edu/cls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Following satisfactory completion of all requirements, the student will be awarded the Bachelor of Science degree in Medical Laboratory Science from the University of Mississippi and is eligible to apply to take a national certification examination..."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Missouri - Columbia
  | style="background-color:white; padding-left:10px;"|U.S. - MO (Columbia)
  | style="background-color:white; padding-left:10px;"|[https://shp.missouri.edu/cls/about.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The University of Missouri offers a Bachelor of Health Science (BHS) degree in Clinical Laboratory Science (CLS) with an emphasis in Medical Laboratory Science. This is a four year program, which also requires students to go through a formal admission process prior to their fourth and final year of clinical study."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Montana - Missoula
  | style="background-color:white; padding-left:10px;"|U.S. - MT (Missoula)
  | style="background-color:white; padding-left:10px;"|[http://cas.umt.edu/Medtech/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...offer[s] 3+1 or 4+1 curriculum options. Either course of study results in a B.S. degree in Medical Technology (UM) or Microbiology with an emphasis in Medical Laboratory Science (MSU)."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Mount Union
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Alliance)
  | style="background-color:white; padding-left:10px;"|[http://www.mountunion.edu/medical-laboratory-science-clinical-year Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The University of Mount Union-Cleveland Clinic 3+1 Medical Laboratory Science Program
Students in this program spend three years at Mount Union and a final year of clinical training at the Cleveland Clinic School of Medical Technology. Upon successful completion, the Bachelor of Science degree in Medical Laboratory Science is awarded by Mount Union."
|-
  | style="font-weight: bold; padding-left:10px;"|University of New Brunswick
  | style="background-color:white; padding-left:10px;"|Canada - NB (Fredericton/St. John)
  | style="background-color:white; padding-left:10px;"|[http://www.unb.ca/academics/programs/undergrad/fr/medical/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The BMLS degree requires completion of the MLT program either prior to or after completion of 84 credit hours of courses at UNB. For graduation, students must have completed the UNB portion of the degree as well as 2.5 years of the MLT program at NBCC-SJ and have passed the Canadian Society for Medical Laboratory Science (CSMLS) exams required for professional practice."
|-
  | style="font-weight: bold; padding-left:10px;"|University of New Hampshire
  | style="background-color:white; padding-left:10px;"|U.S. - NH (Durham)
  | style="background-color:white; padding-left:10px;"|[http://www.biomedical.unh.edu/4year/medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Upon successful completion of the 24-26 week clinical internship, students are awarded the B.S. degree and are eligible to take a national certification exam offered by the American Society of Clinical Pathology (ASCP)..."
|-
  | style="font-weight: bold; padding-left:10px;"|University of New Mexico
  | style="background-color:white; padding-left:10px;"|U.S. - NM (Albuquerque)
  | style="background-color:white; padding-left:10px;"|[http://pathology.unm.edu/medical-laboratory-sciences/program/index.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|University of North Carolina at Chapel Hill
  | style="background-color:white; padding-left:10px;"|U.S. - NC (Chapel Hill)
  | style="background-color:white; padding-left:10px;"|[http://www.med.unc.edu/ahs/clinical/about/glance Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|University of North Dakota
  | style="background-color:white; padding-left:10px;"|U.S. - ND (Grand Forks)
  | style="background-color:white; padding-left:10px;"|[http://www.med.und.edu/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"In addition to traditional Bachelor of Science in Medical Laboratory Science degree offerings, UND's MLS program has a cohort program with the Mayo Clinic in Rochester, Minnesota and affiliation agreements with higher education institutions in Minnesota, North Dakota, South Dakota, Wisconsin, Arizona and Montana. The program has over 70 clinical affiliates in 12 states. Students are able to complete coursework at both a Bachelor's and Master's level online nationwide."
|-
  | style="font-weight: bold; padding-left:10px;"|University of North Florida
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Jacksonville)
  | style="background-color:white; padding-left:10px;"|[http://www.unf.edu/coas/biology/undergraduate/Medical_Lab_Sciences.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Four-year course of study with a clinical internship rotation the final year
|-
  | style="font-weight: bold; padding-left:10px;"|University of North Texas
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Denton)
  | style="background-color:white; padding-left:10px;"|[http://biology.unt.edu/undergraduate-programs/medical-laboratory-sciences-program Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students complete a minimum of 88 semester hours at UNT prior to entering clinical training. Then students must enroll in a minimum of 12 months of clinical training (for a minimum of 32 semester hours) at any hospital or university laboratory approved by the National Accrediting Agency for Clinical Laboratory Sciences."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Ontario Institute of Technology
  | style="background-color:white; padding-left:10px;"|Canada - ON (Toronto)
  | style="background-color:white; padding-left:10px;"|[http://uoit.ca/programs/health-sciences/medical-laboratory-science.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Bachelor of Health Science (Honours); Upon completion you will be eligible to write the Canadian Society for Medical Laboratory Science national certification examination."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Regina
  | style="background-color:white; padding-left:10px;"|Canada - SK (Regina)
  | style="background-color:white; padding-left:10px;"|[http://www.uregina.ca/futurestudents/programs/degree-programs/medical-laboratory-science.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor of Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|University of Rhode Island
  | style="background-color:white; padding-left:10px;"|U.S. - RI (Providence)
  | style="background-color:white; padding-left:10px;"|[http://web.uri.edu/cels-gradprograms/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offering: Masters in Laboratory Science with a focus on Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|University of South Dakota
  | style="background-color:white; padding-left:10px;"|U.S. - SD (Vermillion)
  | style="background-color:white; padding-left:10px;"|[http://catalog.usd.edu/preview_program.php?catoid=19&poid=2764 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students spend 3 years on the USD campus completing medical laboratory science major requirements, university degree requirements, general education, and the fourth year is spent at an affiliated School of Medical Laboratory Science where students complete their clinical requirements. The program culminates in a Bachelor of Science degree from the USD School of Health Sciences."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Southern Mississippi
  | style="background-color:white; padding-left:10px;"|U.S. - MS (Hattiesburg)
  | style="background-color:white; padding-left:10px;"|[https://www.usm.edu/medical-laboratory-science/programs-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|University of Tennessee
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Memphis)
  | style="background-color:white; padding-left:10px;"|[https://www.uthsc.edu/health-professions/cls/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S., M.S., and an online MLT to MLS program
|-
  | style="font-weight: bold; padding-left:10px;"|University of Tennessee - Knoxville
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Knoxville)
  | style="background-color:white; padding-left:10px;"|[http://artsci.utk.edu/pre-health/allied-health-programs/clinical-laboratory-sciencemedical-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students who successfully complete the program at UT will receive a Bachelor of Science degree with a major in medical laboratory science from the College of Arts and Sciences. The curriculum requires a minimum of 90 credit hours ... prior to application for admission to a final year of study at the University of Tennessee Medical Center (UTMCK)."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Texas - MD Anderson Cancer Center
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Houston)
  | style="background-color:white; padding-left:10px;"|[http://www.mdanderson.org/education-and-research/education-and-training/schools-and-programs/school-of-health-professions/programs-and-courses/clinical-laboratory-science/description.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Program in Clinical Laboratory Science is a two-year program with entry at the Junior or at Senior level depending on pre-requisites." "Upon successful completion of our Program you will be awarded a Bachelor of Science degree and will be eligible to take the national certification exams."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Texas - Pan American
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Edinburg)
  | style="background-color:white; padding-left:10px;"|[http://portal.utpa.edu/utpa_main/daa_home/hshs_home/clinlab_home Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"UT Pan American's 15-month Clinical Laboratory Science (Medical Technology) Program begins in September of each year and ends in December of the following Year."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Texas at Austin
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Austin)
  | style="background-color:white; padding-left:10px;"|[https://cns.utexas.edu/biology-advising-center/medical-laboratory-science/degree-options Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students entering The University of Texas at Austin have four options available in preparing for a career in MLS." Options: Bachelor of Science in Clinical Laboratory Science or Medical Laboratory Science; Post-Baccalaureate Option; Allied Health Sciences Pre-professional Curriculum; Integrated Program
|-
  | style="font-weight: bold; padding-left:10px;"|University of Texas Health Science Center at San Antonio
  | style="background-color:white; padding-left:10px;"|U.S. - TX (San Antonio)
  | style="background-color:white; padding-left:10px;"|[http://uthscsa.edu/shp/cls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Options: Bachelor of Science in Clinical Laboratory Sciences; Post-baccalaureate certificates in CLS with specializations in Clinical Chemistry, Hematology, Immunohematology, and Microbiology
|-
  | style="font-weight: bold; padding-left:10px;"|University of Texas Medical Branch at Galveston
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Galveston)
  | style="background-color:white; padding-left:10px;"|[http://shp.utmb.edu/clinicallaboratorysciences/default.asp Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S., M.S., and a categorical certification program
|-
  | style="font-weight: bold; padding-left:10px;"|University of the Sciences in Philadelphia
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Philadelphia)
  | style="background-color:white; padding-left:10px;"|[http://www.usciences.edu/academics/programs/medtech Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"University of the Sciences’ BS program in medical laboratory science is one of the few hospital based programs in the region directed by a certified medical laboratory scientist..."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Utah
  | style="background-color:white; padding-left:10px;"|U.S. - UT (Salt Lake City)
  | style="background-color:white; padding-left:10px;"|[http://medicine.utah.edu/pathology/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Medical Laboratory Sciences, BS; Cytotechnology, BS; Master of Science in Laboratory Medicine and Biomedical Science
|-
  | style="font-weight: bold; padding-left:10px;"|University of Vermont
  | style="background-color:white; padding-left:10px;"|U.S. - VT (Burlington)
  | style="background-color:white; padding-left:10px;"|[http://www.uvm.edu/~cnhs/mlrs/?Page=mls_program.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Bachelor of Science in Medical Laboratory Science degree program"
|-
  | style="font-weight: bold; padding-left:10px;"|University of Washington
  | style="background-color:white; padding-left:10px;"|U.S. - WA (Seattle)
  | style="background-color:white; padding-left:10px;"|[http://depts.washington.edu/labweb/Education/MedTech/index.htm Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Sciences (MLS) Program was founded in 1970 as an undergraduate major of the Institute of Health Sciences."
|-
  | style="font-weight: bold; padding-left:10px;"|University of West Florida
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Pensacola)
  | style="background-color:white; padding-left:10px;"|[http://uwf.edu/cseh/departments/clinical-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Bachelor’s degree program in Clinical Laboratory Sciences prepares students for technical, supervisory and managerial positions in traditional clinical laboratory sciences practice areas such as hematology, clinical chemistry, diagnostic microbiology, immunohematology and serology."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Wisconsin - La Crosse
  | style="background-color:white; padding-left:10px;"|U.S. - WI (La Crosse)
  | style="background-color:white; padding-left:10px;"|[http://www.uwlax.edu/Departments/Microbiology/Program-application/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students are required to have completed the bulk of the pre-clinical coursework and at least one semester at UWL at the time of application, or to have completed a Bachelor of Science degree in an associated field."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Wisconsin - Milwaukee
  | style="background-color:white; padding-left:10px;"|U.S. - WI (Milwaukee)
  | style="background-color:white; padding-left:10px;"|[http://www4.uwm.edu/chs/academics/biomedical_sciences/bms_undergrad/medtech_mls_undergrad/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. Biomedical Sciences Medical Technology/Medical Laboratory Sciences Submajor
|-
  | style="font-weight: bold; padding-left:10px;"|University of Wisconsin - Stevens Point
  | style="background-color:white; padding-left:10px;"|U.S. - WI (Stevens Point)
  | style="background-color:white; padding-left:10px;"|[http://www.uwsp.edu/shcp/Pages/major.aspx?name=Clinical%20Laboratory%20Science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: 4-year B.S.; "As a major in clinical laboratory science, you are required to complete a clinical practicum during your final year."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Wyoming - Casper
  | style="background-color:white; padding-left:10px;"|U.S. - WY (Casper)
  | style="background-color:white; padding-left:10px;"|[http://www.uwyo.edu/outreach/uwcasper/prospective/degrees/mls/mls-index.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"This B.S. level program is designed to build upon any existing accredited medical laboratory technician (MLT) associate’s degree program..."
|-
  | style="font-weight: bold; padding-left:10px;"|Vanderbilt University
  | style="background-color:white; padding-left:10px;"|U.S. - TN (Nashville)
  | style="background-color:white; padding-left:10px;"|[https://www.mc.vanderbilt.edu/root/vumc.php?site=medtech&doc=46602 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Upon satisfactory completion of the training program, a certificate of completion is awarded to the student. The course of study during the clinical year may be credited towards a baccalaureate degree where an affiliation between the student's college or university and the Medical Center exists. Students completing the year of training are eligible for the national certification by examination through agencies such as the American Society of Clinical Pathologist Board of Certification (BOC)."
|-
  | style="font-weight: bold; padding-left:10px;"|Virginia Commonwealth University
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Richmond)
  | style="background-color:white; padding-left:10px;"|[http://sahp.vcu.edu/departments/cls/programs/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S. and M.S.
|-
  | style="font-weight: bold; padding-left:10px;"|Washburn University
  | style="background-color:white; padding-left:10px;"|U.S. - KS (Topeka)
  | style="background-color:white; padding-left:10px;"|[http://www.washburn.edu/academics/college-schools/applied-studies/departments/allied-health/clinical-laboratory/index.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Washburn University offers a Bachelor of Health Science in Clinical Laboratory Science (BHS/CLS)."
|-
  | style="font-weight: bold; padding-left:10px;"|Washington Adventist University
  | style="background-color:white; padding-left:10px;"|U.S. - MD (Takoma Park)
  | style="background-color:white; padding-left:10px;"|[https://www.wau.edu/index.php/academics/undergraduate-programs/medlab-department Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The medical laboratory science program consists of three years of study at Washington Adventist University, followed by a 12- or 13-month senior year in a hospital-based medical laboratory science program."
|-
  | style="font-weight: bold; padding-left:10px;"|Wayne State University
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Detroit)
  | style="background-color:white; padding-left:10px;"|[http://cphs.wayne.edu/program/cls-bs.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: B.S.
|-
  | style="font-weight: bold; padding-left:10px;"|Weber State University
  | style="background-color:white; padding-left:10px;"|U.S. - UT (Ogden)
  | style="background-color:white; padding-left:10px;"|[http://www.weber.edu/mls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offerings: Bachelor of Science, Associate of Applied Science, Clinical Laboratory Assistant
|-
  | style="font-weight: bold; padding-left:10px;"|West Liberty University
  | style="background-color:white; padding-left:10px;"|U.S. - WV (West Liberty)
  | style="background-color:white; padding-left:10px;"|[http://westliberty.edu/health-sciences/academics/clinical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science Program at WLU is a 2+2 program ...  Upon successful completion of all course requirements, as outlined in the University Bulletin students are awarded the BS degree in Medical Laboratory Science."
|-
  | style="font-weight: bold; padding-left:10px;"|West Virginia University
  | style="background-color:white; padding-left:10px;"|U.S. - WV (Morgantown)
  | style="background-color:white; padding-left:10px;"|[http://medicine.hsc.wvu.edu/medsci/home/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The WVU Bachelor of Science in Medical Laboratory Science, is a four-year program..." with two areas of emphasis: clinical laboratory scientist and histotechnologist.
|-
  | style="font-weight: bold; padding-left:10px;"|Wichita State University
  | style="background-color:white; padding-left:10px;"|U.S. - KS (Wichita)
  | style="background-color:white; padding-left:10px;"|[http://webs.wichita.edu/?u=mls&p=/bmls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor program: "The 17-month professional phase consists of 12 months of instruction on the WSU campus and 5 months clinical practice at a medical facility."
|-
  | style="font-weight: bold; padding-left:10px;"|Wilkes University
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Wilkes-Barre)
  | style="background-color:white; padding-left:10px;"|[http://www.wilkes.edu/academics/colleges/science-and-engineering/biology-health-sciences/health-sciences/medical-laboratory-science.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Following graduation from a program, you will be eligible to receive the Bachelor of Science Degree in Clinical Laboratory Sciences from Wilkes, and will be eligible for certification as a clinical laboratory scientist."
|-
  | style="font-weight: bold; padding-left:10px;"|Wright State University
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Dayton)
  | style="background-color:white; padding-left:10px;"|[https://science-math.wright.edu/biology/programs/undergraduate/bachelor-of-science-in-clinical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor program: "The Clinical Laboratory Science program includes three years of study at Wright State and a one-year clinical laboratory curriculum accredited by the American Medical Association Council on Medical Education..."
|-
  | style="font-weight: bold; padding-left:10px;"|York College of Pennsylvania
  | style="background-color:white; padding-left:10px;"|U.S. - PA (York)
  | style="background-color:white; padding-left:10px;"|[http://catalog.ycp.edu/preview_program.php?catoid=13&poid=1506&returnto=413 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"MLS students complete three years of study on the College campus followed by an 11-12 month clinical experience at a hospital-based education program accredited by NAACLS, the National Accrediting Agency for Medical Laboratory Science."
|-
  | style="font-weight: bold; padding-left:10px;"|Youngstown State University
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Youngstown)
  | style="background-color:white; padding-left:10px;"|[http://www.ysu.edu/ebulletin/health-professions/medical-laboratory-science-mls-bsas-curriculum Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Bachelor program: "The medical laboratory science program is a four –year program leading to a Bachelor of Science in Applied Science degree with a major in Medical Laboratory Science."
|-
|}
|}


'''One-year hospital-based programs'''
====1.1.1 From apothecary to small-scale manufacturing laboratory====
A critical area to examine in relation to the evolution of manufacturing laboratories involves pharmaceuticals and the apothecary, which is steeped in the tradition of making pharmaceutical preparations, as well as prescribing and dispensing them to customers. The idea of an individual who attempted to make medical treatments dates back to at least to 2000 BC, from which Sumerian documents reveal compounding formulas for various medicinal dosage types.<ref name="AllenAHist11">{{cite journal |url=https://www.perrigo.com/business/pdfs/Sec%20Artem%2011.3.pdf |archiveurl=https://web.archive.org/web/20130128014521/https://www.perrigo.com/business/pdfs/Sec%20Artem%2011.3.pdf |format=PDF |title=A History of Pharmaceutical Compounding |journal=Secundum Artem |author=Allen Jr., L.V. |volume=11 |issue=3 |year=2011 |archivedate=28 January 2013 |accessdate=06 April 2023}}</ref> By 1540, Swiss physician and chemist Paracelsus made a significant contribution to the early apothecary, influencing "the transformation of pharmacy from a profession based primarily on botanic science to one based on chemical science."<ref name="AllenAHist11" /> Thanks to Paracelsus and other sixteenth century practitioners, the concept of the apothecary became more formalized and chemistry-based in the early seventeenth century. With this formalization came the need for the regulation of apothecaries to better ensure the integrity of the profession. For example, the Master, Wardens and Society of the Art and Mystery of Pharmacopolites of the City of London was founded in 1617 through the Royal Charter of James the First, requiring an aspiring apothecary to conduct an apprenticeship or pay a fee, followed by taking an examination proving the individual's knowledge, skill, and science in the art.<ref name="AllenAHist11" /><ref name="Plough97">{{cite journal |url=https://www.google.com/books/edition/Pharmaceutical_Journal/ScDyXwC8McwC?hl=en&gbpv=1&dq=manufacturing+laboratory&pg=PA164&printsec=frontcover |title=The Plough Court Pharmacy |journal=The Pharmaceutical Journal |publisher=Pharmaceutical Society of Great Britain |volume=LVIII |pages=164–7, 247–51 |date=January to June 1897 |accessdate=06 April 2023}}</ref>


{|
However, despite this sort of early regulation, medical practitioners took exception to apothecaries encroaching upon the medical practitioners' own services, and apothecaries took exception to the untrained and uncertified druggists who were still performing the work of pharmacists. (As it turns out, these sorts of recriminations would continue on in some form or another into the beginning of the twenty-first century, discussed later.) But as an 1897 article from ''The Pharmaceutical Journal'' portrayed, the apothecaries likely wanted to have their cake and eat it too. "[W]hile the apothecaries urged, in the interest of the public, the desirability of a guarantee for the the competences of every person authorised to practise pharmacy," the journal noted, "they also sought, in their own interest, to extend the scope of their medical practice."<ref name="Plough97" /> This led to further debate and changes over time, including British Parliament declaring medicinal preparations as "very proper objects for taxation" in 1783, while at the same time requiring non-apprenticed apothecaries to apply annually for a license. By this time, most apprenticed apothecaries ceased being perceived as mere pharmacists and more as medical practitioners, though the Society's power of conferring medical qualifications, given to them in 1617, were by this point largely lost.<ref name="Plough97" />
| STYLE="vertical-align:top;"|
{| class="wikitable collapsible sortable" border="1" cellpadding="5" cellspacing="0" width="60%"
|-
  ! colspan="4"| One-year hospital-based programs
|-
  ! style="color:brown; background-color:#ffffee;"| School/Hospital
  ! style="color:brown; background-color:#ffffee;"| Location
  ! style="color:brown; background-color:#ffffee;"| Program
  ! style="color:brown; background-color:#ffffee;"| Description
|-
  | style="font-weight: bold; padding-left:10px;"|Altoona Regional
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Altoona)
  | style="background-color:white; padding-left:10px;"|[http://www.altoonaregional.org/medtech/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"UPMC Altoona School of Medical Technology/Medical Laboratory Science is an accredited, 50-week internship program offering clinical theoretical concepts with clinical experience."
|-
  | style="font-weight: bold; padding-left:10px;"|Atlantic Health System
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (''Various'')
  | style="background-color:white; padding-left:10px;"|[http://www.atlantichealth.org/atlantic/for+professionals/school+of+medical+laboratory+science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...our 12-month program incorporates didactic sessions and rotations of clinical practice in laboratories at Morristown Medical Center in Morristown, NJ, Overlook Medical Center in Summit, NJ, and Newton Medical Center in Newton, NJ."
|-
  | style="font-weight: bold; padding-left:10px;"|Augusta Health
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Fishersville)
  | style="background-color:white; padding-left:10px;"|[http://www.augustahealth.com/cls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program is rigorous and consists of over 1500 clock hours of instruction which is equivalent to 40 semester-credit hours. It is intended to provide didactic and practical instruction in the field of clinical laboratory science to prepare program graduates to sit for the national certification exam. "
|-
  | style="font-weight: bold; padding-left:10px;"|Austin State Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Austin)
  | style="background-color:white; padding-left:10px;"|[https://www.dshs.state.tx.us/mhhospitals/AustinSH/ResMedTech.shtm Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Graduates are eligible to take the certifying examination given by the American Society of Clinical Pathologists (ASCP) Board of Certification. Issuance of a degree or certificate IS NOT contingent upon the student passing an external certification examination."
|-
  | style="font-weight: bold; padding-left:10px;"|Baptist Medical Center South
  | style="background-color:white; padding-left:10px;"|U.S. - AL (Montgomery)
  | style="background-color:white; padding-left:10px;"|[http://www.baptistfirst.org/education/school-of-medical-laboratory-science/default.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Baptist Health offers a one-year hospital-based medical technology internship ... After successful completion of the internship the affiliated university awards the bachelor's degree ... The School of Medical Laboratory Science is affiliated with Auburn University and Troy University."
|-
  | style="font-weight: bold; padding-left:10px;"|Beaumont Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Royal Oak)
  | style="background-color:white; padding-left:10px;"|[http://www.beaumont.edu/education/schools-of-allied-health/medical-laboratory-science/medical-laboratory-science-description/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program structure has recently been re-designed to a 6.5 month program that includes 6 students in a Summer session and 6 students in a Winter session. Students will spend 40 hours a week, Monday through Friday, in the clinical laboratory receiving demonstration, observation, hands-on practice, and lectures at the bench."
|-
  | style="font-weight: bold; padding-left:10px;"|Community Healthcare System Central Laboratory
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Munster)
  | style="background-color:white; padding-left:10px;"|[http://www.comhs.org/CHSMLS/application.asp Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"This full time 11-month program is intended for baccalaureate graduates in sciences such as Biological Sciences, Microbiology, or Pre-Professional."
|-
  | style="font-weight: bold; padding-left:10px;"|Conemaugh Memorial Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Johnstown)
  | style="background-color:white; padding-left:10px;"|[https://www.conemaugh.org/SchoolofMedTech/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...the Conemaugh Memorial Medical Center Medical Technology Program is a 50-week program that provides theoretical and clinical training for qualified, academically prepared students."
|-
  | style="font-weight: bold; padding-left:10px;"|Denver Health School of Medical Laboratory Science
  | style="background-color:white; padding-left:10px;"|U.S. - CO (Denver)
  | style="background-color:white; padding-left:10px;"|[http://www.denverhealth.org/for-professionals/education/academic-education/school-of-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...a 12-month hospital-based education program, offered by Denver Health, designed to provide theoretical knowledge and student and clinical laboratory experiences in all laboratory disciplines. The program begins the first week in January and finishes the first or second week in December."
|-
  | style="font-weight: bold; padding-left:10px;"|DMC University Laboratories
  | style="background-color:white; padding-left:10px;"|U.S. - MI (Detroit)
  | style="background-color:white; padding-left:10px;"|[http://www.dmcul.org/?id=59&sid=1 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program accepts 10 students each year for 41 weeks of practical training. Both degree and non degree students are acceptable, providing admission criteria are met."
|-
  | style="font-weight: bold; padding-left:10px;"|Eastern Maine Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - ME (Bangor)
  | style="background-color:white; padding-left:10px;"|[http://emmcmlsprogram.org/Home.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Satisfactory completion of three years (88 semester credit hours) at an accredited college or university is required. Baccalaureate degree requirements of the college or university must be fulfilled when the year of clinical training at Eastern Maine Medical Center has been completed."
|-
  | style="font-weight: bold; padding-left:10px;"|Evanston Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Evanston)
  | style="background-color:white; padding-left:10px;"|[http://www.northshore.org/academics/academic-programs/other-programs/medical-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|One-year clinical; details limited on website
|-
  | style="font-weight: bold; padding-left:10px;"|Franciscan St. Francis Health - Indianapolis
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Indianapolis)
  | style="background-color:white; padding-left:10px;"|[http://www.franciscanalliance.org/hospitals/indianapolis/health-professionals/pages/clinical-lab-program.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Franciscan St. Francis program accepts students in their final year of a baccalaureate degree program from an affiliated college or university, or those already holding a bachelor’s degree. Students in the Franciscan St. Francis Health Clinical Laboratory Science Program earn 32 hours of college credit and are in instruction eight hours per day."
|-
  | style="font-weight: bold; padding-left:10px;"|Guthrie Robert Packer Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Sayre)
  | style="background-color:white; padding-left:10px;"|[https://www.guthrie.org/medtech Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Sciences program combines a high caliber education with a state-of-the-art learning environment to provide a 50-week internship, on top of 3-4 years of college. Upon successful completion of the internship, the student receives a baccalaureate degree from their affiliated university and a certificate in Clinical Laboratory Sciences from the Program."
|-
  | style="font-weight: bold; padding-left:10px;"|Hennepin County Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - MN (Minneapolis)
  | style="background-color:white; padding-left:10px;"|[http://www.hcmc.org/education/LaboratoryEducation/ProgramRequirements/index.htm Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science Program is a nine-month clinical internship, from September through May ... Upon completion of the program, graduates receive a certificate that is not contingent on passing a certification examination."
|-
  | style="font-weight: bold; padding-left:10px;"|Indiana University Health Methodist Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Indianapolis)
  | style="background-color:white; padding-left:10px;"|[http://iuhealth.org/education/health-sciences/clinical-laboratory-scientist-medical-technologist/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"After meeting the prerequisites, students apply for a full-time internship at Indiana University Health Methodist Hospital CLS Program. The program runs for 47 weeks and is divided into two phases. Training hours are full-time days."
|-
  | style="font-weight: bold; padding-left:10px;"|Inova Fairfax Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Falls Church)
  | style="background-color:white; padding-left:10px;"|[http://www.inova.org/clinical-education-and-research/education/education-for-students/medical-technology-program.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Medical Laboratory Science Program (formerly known as the Medical Technology Program) at Inova Fairfax Hospital, is a highly competitive, fully accredited one-year program that qualifies its graduates to take the national certifying examination given by the American Society for Clinical Pathology in pursuit of the MT/MLS (ASCP) certification."
|-
  | style="font-weight: bold; padding-left:10px;"|Jefferson College of Health Sciences
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Roanoke)
  | style="background-color:white; padding-left:10px;"|[http://www.jchs.edu/degree/certificate-medical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"12-month program of study accredited by the National Accrediting Agency for Clinical Laboratory Sciences, our certificate-awarding program is designed to prepare students to become medical laboratory scientists. Upon completion of the curriculum, students will be eligible to take the national certification exam."
|-
  | style="font-weight: bold; padding-left:10px;"|Jersey Shore University Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (Neptune)
  | style="background-color:white; padding-left:10px;"|[http://www.meridianhealth.com/health-professionals/education/florence-m.-cook-school-of-medical-laboratory-science/index.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Florence M Cook School of Medical Laboratory Science curriculum consists of an 11-month training program with didactic sessions as well as clinical rotations throughout Jersey Shore University Medical Center's laboratory departments."
|-
  | style="font-weight: bold; padding-left:10px;"|Lexington Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - SC (West Columbia)
  | style="background-color:white; padding-left:10px;"|[http://www.lexmed.com/careers/school-of-medical-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The 12-month program begins and ends each August. No more than four students are enrolled at a time, allowing for an extremely low student-to-teacher ratio that maximizes learning."
|-
  | style="font-weight: bold; padding-left:10px;"|Mercy Medical Center – Sioux City
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Sioux City)
  | style="background-color:white; padding-left:10px;"|[http://www.mercysiouxcity.com/medical-laboratory-science-program Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The majority of students enrolled in the program are college seniors from formally affiliated colleges. This program will complete the requirements for the Medical Laboratory Science baccalaureate degree. Other students are those who have obtained a baccalaureate degree prior to entry."
|-
  | style="font-weight: bold; padding-left:10px;"|Mercy St. Vincent Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - OH (Toledo)
  | style="background-color:white; padding-left:10px;"|[http://www.mercyweb.org/team_clinical_lab_science.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The one-year program begins in July. You will spend approximately 40 hours a week, eight hours a day, dividing your time between the classroom and the laboratory."
|-
  | style="font-weight: bold; padding-left:10px;"|Monmouth Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (West Orange)
  | style="background-color:white; padding-left:10px;"|[http://www.barnabashealth.org/Monmouth-Medical-Center/Our-Services/Pathology-Laboratory-Services/Medical-Technology-Program.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students must have at least a Baccalaureate Degree (BS) or have attained 95 credits in Medical Technology at an Affiliated College or University (there are 4 Affiliates). Students will earn 32 credits at MMC and receive BS from the Affiliated Institution upon Graduation."
|-
  | style="font-weight: bold; padding-left:10px;"|Myron E. Rubnitz, M.D. School of Medical Laboratory Science
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Hines)
  | style="background-color:white; padding-left:10px;"|[http://www.hines.va.gov/about/mt.asp Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Offers a 11-month clinical education program beginning the first week of August. Graduates are eligible to take the certifying examination offered by the ASCP Board of Certification or any other approved certifying agency."
|-
  | style="font-weight: bold; padding-left:10px;"|Nebraska Methodist Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - NE (Omaha)
  | style="background-color:white; padding-left:10px;"|[http://thepathologycenter.org/MLS-Program Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"...an intensive 11-month educational program providing experience in all major departments of a hospital clinical lab."
|-
  | style="font-weight: bold; padding-left:10px;"|New York Methodist Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Brooklyn)
  | style="background-color:white; padding-left:10px;"|[http://www.cahe.edu/school_clinical_laboratory.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The program involves a full-time, one-year commitment where students concurrently engage in both didactic and clinical educational experiences."
|-
  | style="font-weight: bold; padding-left:10px;"|Parkview Health Laboratories
  | style="background-color:white; padding-left:10px;"|U.S. - IN (Fort Wayne)
  | style="background-color:white; padding-left:10px;"|[http://lab.parkview.com/ViewAdditionalContent.aspx?UID=84235561-6053-4EE2-BBF3-6D4EE3252B1A Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students must pass a final exam to successfully complete the Parkview Medical Laboratory Science Program. Upon completion, students receive a graduation certificate. They are then eligible to pursue certifications offered by the Board of Certification of the American Society for Clinical Pathology."
|-
  | style="font-weight: bold; padding-left:10px;"|Parkview Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - CO (Pueblo)
  | style="background-color:white; padding-left:10px;"|[http://www.parkviewmc.com/medical-education/school-of-mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The School provides a 12 month accredited program designed to prepare men and women for a challenging career in medical laboratory science. At the completion of the clinical year, the student is eligible to take the ASCP Board of Certification Exam to become a registered Medical Laboratory Scientist."
|-
  | style="font-weight: bold; padding-left:10px;"|Rapid City Regional Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - SD (Rapid City)
  | style="background-color:white; padding-left:10px;"|[http://www.regionalhealth.com/Community-Outreach/Professional-Education/Medical-Laboratory-Science-Program.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Clinical Laboratory Science Program ... provides an educational experience encompassing 52 weeks, with a full curriculum in all the major subject areas of clinical laboratory science. Affiliated colleges and universities honor this year of professional study as the senior year, and award a baccalaureate degree upon it's completion."
|-
  | style="font-weight: bold; padding-left:10px;"|Reading Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Reading)
  | style="background-color:white; padding-left:10px;"|[https://www.readinghealth.org/education-and-research/school-of-laboratory-sciences/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"This 12-month program is open to students looking to complete their undergraduate medical laboratory science degree in a clinical setting (3+1 option), or take a post-baccalaureate year to gain experience (4+1 option)."
|-
  | style="font-weight: bold; padding-left:10px;"|Sanford USD Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - SD (Sioux Falls)
  | style="background-color:white; padding-left:10px;"|[http://www.sanfordhealth.org/Careers/InternshipsJobShadowingandResidency/MedicalLaboratoryScienceProgramSiouxFalls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The majority of students enrolled in the program are college seniors on affiliation from their respective colleges to complete the requirements for a medical laboratory science degree. Other students are those who have obtained a baccalaureate degree prior to entry. Graduates of this program are eligible to take national certifying examinations, including those of the American Society of Clinical Pathologists (ASCP) Board of Certification."
|-
  | style="font-weight: bold; padding-left:10px;"|Santa Barbara Cottage Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - CA (Santa Barbara)
  | style="background-color:white; padding-left:10px;"|[http://www.cottagehealth.org/medical-professionals/clinical-laboratory-science-training-program-/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Training Period: 12 months; Training Begins: September (Fall), February/March (Spring); Class Size: Up to 3 students per start date"
|-
  | style="font-weight: bold; padding-left:10px;"|School of Medical Laboratory Science at Pennsylvania Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Philadelphia)
  | style="background-color:white; padding-left:10px;"|[http://www.uphs.upenn.edu/pahedu/medical-laboratory-science/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Upon successful completion of the program, students receive a certificate from Pennsylvania Hospital, and are granted a baccalaureate degree from their affiliated college or university. Students are then eligible to take the certification exam offered by the American Society of Clinical Pathologists (ASCP) Board of Certification or other nationally recognized certification agencies."
|-
  | style="font-weight: bold; padding-left:10px;"|Scott & White Memorial Hospital - Temple
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Temple)
  | style="background-color:white; padding-left:10px;"|[http://healthcare-professionals.sw.org/graduate-medical-education/allied-health/clinical-laboratory-science/clinical-laboratory-science Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Baylor Scott & White Health Program in Clinical Laboratory Science (CLS) is a one-year internship for students who have a bachelor's degree in the sciences (4+1) or who are currently enrolled in an affiliated clinical laboratory science, medical laboratory science or medical technology degree program (3+1)."
|-
  | style="font-weight: bold; padding-left:10px;"|Sentara RMH Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - VA (Harrisonburg)
  | style="background-color:white; padding-left:10px;"|[http://www.sentara.com/harrisonburg-virginia/hospitalslocations/locations/school-of-medical-laboratory-science/program-information.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students must have either a bachelor's degree from a regionally accredited college/university or be guaranteed one upon the completion of the clinical year."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Christopher's Hospital for Children
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Philadelphia)
  | style="background-color:white; padding-left:10px;"|[http://www.stchristophershospital.com/for-health-care-professionals/medical-laboratory-science-program Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students will spend Mondays and Tuesdays in the classroom, and Wednesday through Friday in the medical laboratory to fulfill their clinical and academic requirements over a 10-month period. The academic year begins in late August and ends in late June."
|-
  | style="font-weight: bold; padding-left:10px;"|St. John's Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - IL (Springfield)
  | style="background-color:white; padding-left:10px;"|[https://www.st-johns.org/stjohns/School-of-Clinical-Laboratory-Science.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The 44-week program is recognized by ten college/university academic affiliates as fulfilling the senior year baccalaureate degree requirements. The program curriculum consists of didactic and clinical components."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Luke's Hospital Laboratory
  | style="background-color:white; padding-left:10px;"|U.S. - MO (Kansas City)
  | style="background-color:white; padding-left:10px;"|[http://www.saintlukeshealthsystem.org/clinical-laboratory-science-program Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"Students enjoy a three-to-one student-teacher ratio and are instructed by clinical laboratory scientists who have specialized expertise in each clinical rotation."
|-
  | style="font-weight: bold; padding-left:10px;"|St. Vincent's Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - FL (Jacksonville)
  | style="background-color:white; padding-left:10px;"|[http://www.jaxhealth.com/education/School-of-Medical-Science/medical-technology/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The curriculum includes 50 weeks of instruction with classes starting each year in January and late June. Each class has a maximum capacity of five students."
|-
  | style="font-weight: bold; padding-left:10px;"|UCLA Health
  | style="background-color:white; padding-left:10px;"|U.S. - CA (Los Angeles)
  | style="background-color:white; padding-left:10px;"|[http://pathology.ucla.edu/body.cfm?id=64 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The UCLA CLS Program ONLY accepts students through the California State University, Dominguez Hills, College of Professional Studies, School of Health and Human Services, Clinical Sciences Major, Medical Technology Program Option."
|-
  | style="font-weight: bold; padding-left:10px;"|United Regional Health Care System
  | style="background-color:white; padding-left:10px;"|U.S. - TX (Wichita Falls)
  | style="background-color:white; padding-left:10px;"|[http://www.unitedregional.org/become-a-medical-laboratory-scientist-mls Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"United Regional's School of MLS is a 52-week program and must be completed in order to be eligible for certification examinations or employment as a Medical Laboratory Scientist."
|-
  | style="font-weight: bold; padding-left:10px;"|UnityPoint Health - Cedar Rapids
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Cedar Rapids)
  | style="background-color:white; padding-left:10px;"|[https://www.unitypoint.org/cedarrapids/school-of-medical-laboratory-science.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The MLS Program grants 32 credits to students who attend affiliated academic institutions which can be utilized towards an overall baccalaureate degree at that institution. A certificate of completion is awarded to all students who successfully complete the Program (including those who already have their baccalaureate degree)."
|-
  | style="font-weight: bold; padding-left:10px;"|UnityPoint Health — St. Luke's
  | style="background-color:white; padding-left:10px;"|U.S. - IA (Sioux City)
  | style="background-color:white; padding-left:10px;"|[http://www.stlukescollege.edu/certificate-in-medical-laboratory-science.aspx Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The medical laboratory science program at St. Luke's College will provide one year of professional studies committed to classroom and practical instruction."
|-
  | style="font-weight: bold; padding-left:10px;"|University of California Irvine Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - CA (Irvine)
  | style="background-color:white; padding-left:10px;"|[http://unex.uci.edu/areas/life_sciences/clsmt/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Clinical Laboratory Science/Medical Technology (CLS/MT) Training Program is a full-time, one-year educational program that leads to a career in diagnostic laboratory medicine ... Upon successful completion of the program, participants are awarded the Clinical Laboratory Science/Medical Technology Certificate and are prepared to take the exam leading to licensure as a California CLS and certification as an MLS through the American Society for Clinical Pathology."
|-
  | style="font-weight: bold; padding-left:10px;"|University of Nebraska Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - NE (Omaha)
  | style="background-color:white; padding-left:10px;"|[http://www.unmc.edu/alliedhealth/education/cls/admission/index.html Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"In all locations, the CLS curriculum leads to the Bachelor of Science degree in Clinical Laboratory Science. The program consists of 43 semester hours and begins in late May of each year. Graduates are eligible to apply for ASCP board certification as medical laboratory scientists upon completion of the program."
|-
  | style="font-weight: bold; padding-left:10px;"|Utah Tech University
  | style="background-color:white; padding-left:10px;"|U.S. - UT (St. George)
  | style="background-color:white; padding-left:10px;"|[https://health.utahtech.edu/mls/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|Offers a B.S. in Medical Laboratory Science
|-
  | style="font-weight: bold; padding-left:10px;"|The Valley Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - NJ (Ridgewood)
  | style="background-color:white; padding-left:10px;"|[http://www.valleyhealth.com/Programs_Services.aspx?id=1774 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The institutions have agreed to award 36 college credits for successful completion of our program, and these credits contribute toward a baccalaureate degree in Medical Laboratory Science (Medical Technology) (3+1 program)."
|-
  | style="font-weight: bold; padding-left:10px;"|WCA Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - NY (Jamestown)
  | style="background-color:white; padding-left:10px;"|[http://www.wcahospital.org/mlsprogram.php Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The WCA Hospital Medical Laboratory Science Program is an accredited, 45-week, program offering intensive study and clinical experience in medical laboratory science as the final year of a Bachelor's degree."
|-
  | style="font-weight: bold; padding-left:10px;"|WellSpan York Hospital
  | style="background-color:white; padding-left:10px;"|U.S. - PA (York)
  | style="background-color:white; padding-left:10px;"|[http://www.wellspan.org/for-medical-professionals/education/wellspan-york-hospital-medical-laboratory-science-program/ Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"... a 12-month program for college students sponsored by WellSpan York Hospital. The program typically serves as a student's senior year of college (3+1 option), but applicants with a B.S. degree (4+1) who meet the entrance requirements will be considered as well."
|-
  | style="font-weight: bold; padding-left:10px;"|Williamsport Regional Medical Center
  | style="background-color:white; padding-left:10px;"|U.S. - PA (Williamsport)
  | style="background-color:white; padding-left:10px;"|[http://www.susquehannahealth.org/medical-professionals/medical-students/clinical-laboratory-science-program/program-overview/page.aspx?id=3219 Medical Laboratory Science Program]
  | style="background-color:white; padding-left:10px;"|"The Clinical Laboratory Science Program is a 12-month educational program designed to be completed as the fourth or fifth year in a baccalaureate degree program."
|-
|}
|}


====Continuing education====
By the end of the eighteenth century, apothecaries and druggists were setting up their own manufacturing laboratories to make chemical and pharmaceutical products. However, these labs were likely still limited in scope. In 1897, ''The Pharmaceutical Journal'' portrayed manufacturing labs as such, in the scope of the growing Plough Court Pharmacy run by William Allen and Luke Howard<ref name="Plough97" />:
[https://learning.aama-ntl.org/learning/MyELearning/ListCourses/tabid/56/Default.aspx AAMA's various online courses]: The American Association of Medical Assistants offers courses on order entry and medical conditions, many of the PACE-approved.


[http://www.ascls.org/continuing-education/certification-maintenance-memberships ASCLS Certification Maintenance Membership]: The American Society for Clinical Laboratory Science (ASCLS) offers a Certification Maintenance Membership, which provides "12 hours of PACE-approved online continuing education to be completed at any time before the end of the subscription year."
<blockquote>It is, however, difficult to at the present time to realise what must have been the position of a manufacturing chemist in 1797, or to comprehend, without some reflection, how limited was the range of his operations and how much his work was beset with difficulties which are now scarecely conceivable. At that time chemical industry was confined to the production of soap, the mineral acids, and some saline compounds then used in medicine. Among the latter, mercurial preperations held an important place, and some of these appear to have first received attention by the firm of Allen and Howard. The early laboratory account books of the firm mention ammoniacals, caustic potash, borax, argentic nitrate, and cream of tartar, as well as ether, benzoic acid, and refine camphor, which were then articles of the materia medics, citric, tartatic and oxalic acids, etc.</blockquote>


[http://www.ascls.org/continuing-education/certification-maintenance-memberships ASCLS Clinical Lab Investigations]: The American Society for Clinical Laboratory Science (ASCLS) offers Clinical Lab Investigations, "designed to take you beyond the laboratory test and investigate the causes for abnormal laboratory results." They provide PACE-approved continuing education credit.
To be sure, other types of manufacturing were occurring during the rise and dominance of the apothecary, not just pharmaceutical manufacture. But, retrospectively, the pharmaceutical manufacturing lab in general was likely not in the best of shape as the nineteenth century approached. With several changes in Europe and United States in the early 1800s, the apothecary's manufacturing lab arguably saw more formalized and regulated activity, through various releases of pharmacopoeias<ref name="AllenAHist11" /><ref name="AndersonPharm13">{{cite web |url=http://www.histpharm.org/ISHPWG%20UK.pdf |format=PDF |title=Pharmacopoeias of Great Britain |work=A History of the Pharmacopoeias of the World |author=Anderson, S.C. |publisher=International Society for the History of Pharmacy |pages=1–8 |year=2013 |accessdate=06 April 2023}}</ref>, openings of new pharmacy schools (though still limited in scope)<ref name="DCTheEarly18">{{cite journal |url=https://books.google.com/books?id=P3kgAQAAMAAJ&pg=RA2-PA243-IA1&dq=manufacturing+laboratory |title=The Early Days of Pharmaceutical |journal=The Druggists Circular |volume=LXII |issue=6 |pages=244–5 |date=June 1918 |accessdate=06 April 2023}}</ref>, publishing of books<ref name="DCTheEarly18" />, and additional formalization of regulating legislation (such as Britain's Apothecaries Act of 1815).<ref name="Plough97" /> By the time the ''United States Pharmacopeia'' came upon the scene in 1820, the apothecary was viewed as "competent at collecting and identifying botanic drugs and preparing from them the mixtures and preparations required by the physician."<ref name="AllenAHist11" /> Pharmaceutical historian Loyd Allen, Jr. refers to this time period as "a time that would never be seen again," a sort of Golden Age of the apothecary, given the increasingly rapid rate that scientific and technological discoveries were being made soon after, particularly in synthetic organic chemistry.<ref name="AllenAHist11" />


[http://www.cacmle.org/ CACMLE's various online classes]: The Colorado Association for Continuing Medical Laboratory Education (CACMLE) "is the only 501(c)(3) nonprofit organization solely dedicated to providing quality continuing education in the medical laboratory sciences." The organization offers a wide variety of courses, webinars, workshops, and seminars that are eligible for PACE credits.
Of course, the manufacturing lab—pharmaceutical and otherwise—had other issues as well. For example, just because a small-scale experimental R&D process yielded a positive result didn't mean that process was scalable to large-scale manufacturing. "Frequently, things work well on a small scale, and failure results when mass action comes into effect," noted Armour Fertilizer Company's president Charles McDowell in April 1917, while discussing American research methods.<ref name="McDowellAmerican17">{{cite journal |url=https://books.google.com/books?id=8pMPAQAAIAAJ&pg=PA546&dq=manufacturing+laboratory |title=American Research Methods |journal=Journal of the Western Society of Engineers |author=McDowell, C.A. |volume=XXII |issue=8 |year=1917 |pages=546–65 |accessdate=06 April 2023}}</ref> Sometimes a process was sufficiently simple that switching to more robust and appropriate apparatuses was all that was needed to scale up from experiment to full production.<ref name="RobertsonDesulph43">{{cite journal |url=https://books.google.com/books?id=3u01AQAAMAAJ&pg=RA1-PA444&dq=manufacturing+laboratory |title=Desulphuration of Metals |journal=Mechanics' Magazine, Museum, Register, Journal, and Gazette |editor=Robertson, J.C. |volume=38 |date=01 July 1843 |page=444 |accessdate=06 April 2023}}</ref> In other cases, a full-scale manufacturing laboratory process had yet to be developed, let alone the experiments conducted to develop a proof-of-concept solution in the experimental lab.<ref name="JacksonChemical43">{{cite journal |url=https://books.google.com/books?id=hrYxAQAAMAAJ&pg=PA379&dq=manufacturing+laboratory |title=Chemical Salts as Fertilizers |journal=New England Farmer, and Horticultural Register |author=Jackson, C.T. |publisher=Joseph Breck & Co |volume=XXL |issue=48 |page=379 |date=31 May 1843 |accessdate=06 April 2023}}</ref>


[https://www.labce.com/mls_mt_mlt_lab_continuing_education.aspx LabCE's various online classes]: LabCE offers more than 90 online clinical laboratory continuing education courses "for lab professionals, including medical laboratory technologists (MT), laboratory technicians (MLT), and students." Many of them are PACE-approved for continuing education credits.
Another challenge the manufacturing lab had was in ensuring the stability of any laboratory manufactured solution. Discussing the British Pharmacopoeia-introduced substance of sulphurous acid for afflictions of the throat, Fellow of the Chemical Society Charles Umney noted the stability considerations of the substance when made in the manufacturing laboratory<ref name="UmneySulphurous69">{{cite journal |url=https://books.google.com/books?id=POkKAAAAYAAJ&pg=PA516&dq=manufacturing+laboratory |title=Sulphurous Acid |journal=Pharmaceutical Journal and Transactions |author=Umney, C. |publisher=John Churchill and Sons |volume=X |issue=IX |pages=516–20 |year=1869 |accessdate=06 April 2023}}</ref>:


[http://www.lab-ask.com/total-lab-cares-laboratory-essentials-course-has-been-approved-for-p-a-c-e-ceu-credits/ Total Lab Care Laboratory Essentials]: Total Lab Care, a laboratory consultancy sub-group of ELITech Group, offers a "web-based interactive training program, comprised of 10 individual lessons, [that] reviews CLIA rules and regulations and laboratory operations from pre-analytical to post-analytical processes including laboratory testing requirements." The course is approved for 3.5 hours of PACE continuing education credits.
<blockquote>Now the Pharmacopoeia solution (which is about 37 volumes) was designedly made nearly one of saturation at the average summer temperature of this country, and, if one may be excused for making a guess, we described from calculations made from the above data of Bunsen's, and not practically worked out to see whether such a solution could be ordinarily obtained in the manufacturing laboratory without chance of failure, and, when made, be kept without great alteration in the various stages it would have to pass through, even if only from the manufacturer to the wholesale druggist, then to the pharmacists, in whose store it might retain for a year or more, being perhaps placed in a temperature many degrees above the point at which it was saturated, thereby causing expansion, liberation of gas, and inconvenience.</blockquote>


'''Other courses'''
Difficulties aside, as the 1800s progressed, the resources of a collaboratory manufacturing laboratory were often greater than those of the individual private laboratory, with enterprising businesses increasingly turning to larger labs for greater and more high-quality quantities of materials. For example, in a letter from the Royal Institution of Great Britain, editor William Crookes discussed the discovery of thallium, noting that the manufacturing lab of noted manufacturing chemists Hopkin and Williams were able to prepare chloride of thallium for him from two hundredweight (cwt) in less time than it took Crookes to make 10 pounds of sulfur in his private laboratory.<ref name="CrookesOnThe63">{{cite journal |url=https://books.google.com/books?id=0JHOIc5pHYwC&pg=PA172&dq=manufacturing+laboratory |title=On the Discovery of the Metal Thallium |journal=The Chemical News and Journal of Physical Chemistry |author=Crookes, W. |volume=VII |issue=175 |pages=172–6 |date=April 1863 |accessdate=06 April 2023}}</ref> This trend would continue into the late 1800s, for pharmaceutical and other manufactured goods.


The Centers for Medicare and Medicaid Services has [https://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/CME_Courses_for_Laboratory_Directors_of_Moderate_Complexity_Laboratories.html a listing of CME courses] that help aspiring laboratory directors of moderate complexity laboratories meet CLIA guidelines.
====1.1.2 From small-scale private manufacturing lab to larger-scale industrial manufacturing lab====
By the 1860s, numerous changes to the paradigm of the manufacturing lab were beginning to take shape, with noticeable momentum away from the small-scale private manufacturing labs to those larger in scope and output, putting competitive pressures on the smaller manufacturing labs.<ref name="PearsonThePrep11">{{cite journal |url=https://books.google.com/books?id=GyFFAQAAMAAJ&pg=PA415&dq=manufacturing+laboratory |title=The Preparation and Testing of Drugs |journal=The Journal of the Franklin Institute of the State of Pennsylvania |author=Pearson, W.A. |volume=CLXXI |issue=4 |pages=415–21 |date=April 1911 |accessdate=12 April 2023 |quote=All the large drug laboratories have been developed since 1860 ... The increase in number of manufacturing laboratories and the consequent increase in competition exerted an influence on the wholesale druggist.}}</ref> Take, for example, one of the largest U.S.-based enameled brick factories for its time, in 1896, which "[i]n addition to their manufacturing laboratory for slips, enamels and glazes, they maintain an analytical chemical laboratory, and have two chemists in their employ."<ref name="LockingtonEnamled96">{{cite journal |url=https://books.google.com/books?id=lj9PAQAAIAAJ&pg=RA1-PA350&dq=manufacturing+laboratory |title=Enamled Brick at Oaks, PA |journal=The Clay-Worker |author=Lockington, W.P. |volume=XXV |issue=4 |pages=350–51 |date=April 1896 |accessdate=07 April 2023}}</ref> Ten years prior, a report on the visit to the experimental and manufacturing laboratories of Louis Pasteur highlights the need for a more sizeable facility for meeting demand for the anthrax vaccine<ref name="RobertsonReport86">{{cite journal |url=https://books.google.com/books?id=a-AfAQAAIAAJ&pg=PA223&dq=manufacturing+laboratory |title=Report of Visit to the Laboratories of M. Pasteur at Paris |journal=The Veterinary Journal and Annals of Comparative Pathology |author=Robertson, W. |volume=XXIII |pages=223–7 |year=1886 |accessdate=07 April 2023}}</ref>:


===List of staffing agencies===
<blockquote>To meet the demands upon the laboratory work for the supply of anthrax vaccine, the preparation of this is now carried out in an establishment apart from the experimental laboratory in connection with the Ecole Normale, where it was originally started. In the Rue Vaquelin, under the charge of educated assistants, M. Chamberland carries out the preparation on a large scale—the necessity for this being apparent when regard is had to the statement of the quantity demanded for France and other countries.</blockquote>
The following are staffing agencies that focus at least some of their energy towards finding and placing laboratory personnel and management, including medical technologists, medical laboratory technicians, cytotechnologists, histotechnologists, and laboratory directors.


====National (U.S.) and global====
The author, William Robertson, then goes into greater detail of the many rooms and floors of the building housing the manufacturing laboratory and its apparatuses, highlighting the grandness of the lab's efforts.
* [http://ahcstaff.com/job-seekers/allied/ Accountable Healthcare Staffing]
* [http://www.aerotek.com/clinical/clinical-jobs.aspx Aerotek]
* [http://www.allmedstaffing.com/healthcare-staffing.html All Medical Personnel]
* [http://www.allswell.net/Job-Seekers/default.aspx ALL's WELL]
* [http://www.amnhealthcare.com/allied_staffing_services/ AMN Healthcare]
* [http://www.aureusmedical.com/medical-laboratory/clinical-lab-scientist-cls-jobs.aspx Aureus Medical Group]
* [http://www.clubstaffing.com/allied-disciplines/ Club Staffing]
* [http://www.comphealth.com/job-opportunities CompHealth]
* [http://www.fusionmedstaff.com/jobs/ Fusion Medical Staffing]
* [http://labcareer.com/ HealthCare Connections, Inc.]
* [http://www.insourcesolutions.com/laboratory-jobs/ Insource]
* [http://joulescientific.com/default.aspx Joule Scientific Staffing Solutions]
* [http://www.kellyglobal.net/eprise/main/cms/content/us/ksr/en/pages/specialty_gen_lab.html Kelly Scientific]
* [http://www.labsupport.com/ Lab Support]
* [http://www.lighthouserecruiting.com/ Lighthouse Recruiting]
* [http://www.maximstaffing.com/candidates/alliedHealth.aspx Maxim Staffing Solutions]
* [http://www.medtravelers.com/allied-healthcare-disciplines/medical-laboratory-technician-jobs/ Med Travellers]
* [http://www.medstaffservices.com/ Medical Staffing Services]
* [http://info.milleniamedical.com/clinical-lab-division Millenia Medical Staffing]
* [http://www.scientificrecruitment.com/ Scientific Recruitment Agency]
* [http://www.soliant.com/laboratory/ Soliant]
* [http://www.stmarksworld.com/pages/allied-health-staffing/ St. Mark's World]
* [http://www.staffpointe.com/ StaffPointe]
* [https://www.travelforce.com/medical-laboratory-jobs/ Travel Force Staffing]
* [http://www.travelmaxallied.com/ TravelMax Allied]
* [http://www.uniforce.com/ClinicalSupport.asp Uniforce Staffing Solutions]


====Regional (U.S.)====
The change from small-scale private to larger-scale industrial manufacturing labs—in turn seemingly being supplanted by analytical laboratories<ref name="TWDDrugClerks02">{{cite journal |url=https://books.google.com/books?id=qG8gAQAAMAAJ&pg=PA405&dq=manufacturing+laboratory |title=Drug Clerks and Labor Unions |journal=The Western Druggist |author=The Western Druggist |volume=XXIV |issue=7 |page=405 |date=July 1902 |accessdate=12 April 2023}}</ref>—is arguably best seen in the transition from the apothecary and pharmacist to the large-scale pharmaceutical manufacturer. During this time of change in the late 1800s, laws dictating higher manufacturing quality, educational requirements, and restrictions on who can sell medicines were derided, debated, or cheered, depending on who was involved.<ref name="LillyTheRel83">{{cite journal |url=https://books.google.com/books?id=VlyFy6zJQpUC&pg=RA2-PA258&dq=manufacturing+laboratory |title=The Relation of Manufacturing Pharmacists to Pharmacy Laws |journal=The Pharmacist and Chemist |author=Lilly, J.K. |volume=XVI |issue=1 |pages=258–9 |date=January 1883 |accessdate=06 April 2023}}</ref><ref name="ParkerSomeAsp96">{{cite journal |url=https://books.google.com/books?id=bSnnAAAAMAAJ&pg=PA183&dq=manufacturing+laboratory |title=Some Aspects of Technical Pharmacy |journal=American Druggist and Pharmaceutical Record |author=Parker, C.E. |volume=XXVIII |issue=6 |pages=183–4 |date=25 March 1896 |accessdate=12 April 2023}}</ref>


* [http://www.accessstaffing.com/Specialties/Scientific Access Staffing] (New York)
Reading for a meeting at the Kings County Pharmaceutical Society of Ohio, Charles E. Parker had the following to say about the state of the apothecary-turned-pharmacist in 1896, which fully highlights the transition from small-scale private to larger-scale industrial manufacturing of pharmaceuticals<ref name="ParkerSomeAsp96" />:
* [http://flmedstaffing.com/ Florida Medical Staffing] (Florida)
 
* [http://hpmstaffing.com/ Health Professional Medical Staffing] (California)
<blockquote>The modern pharmacist succeeds to all the responsibilities and obligations of the ancient apothecary without opposition, but his utmost efforts have not preserved to him his inheritance of former privileges and emoluments ... Technical skill is of no use to the professional side of pharmacy unless it is used, and used for the public welfare as well as that of its possessor. The dispenser is the ''typical'' pharmacist. But where in former years his sphere included many activities and much manipulative expertness in the preparation of drugs, and even the production of many of them, the midern tendancy is for him to become a mere compounder and dispenser. Of course he is expected to know how, but actually is seldom required to perform the operations once a matter of constant routine. Step by step the productive processes of his little laboratory have been transferred to the works of large manufacturers. Year by year the pharmaceutical improvements and useful inventions which would once have conferred reputation and profit upon the dispensing pharmacies where they originated, have found a better market through these same manufacturers ... In addition, it is to be considered that some of the requisites of modern pharmacy are of a nature involving the use of expensive machinery and large plant, which places their production quite beyond the reach of the pharmacy.</blockquote>
* [http://www.healthcaretalent.net/career-profiles/ HealthCare Talent] (California)
 
* [http://www.labprosinc.com/ Lab Pros] (Massachusetts)
Writing for the ''Pharmaceutical Review'' in 1897, editor Dr. Edward Kremers penned an editorial on the role of the manufacturing laboratory in the growing pharmaceutical industry, noting that "[d]uring the past hundred years a most remarkable industrial revolution has taken place," and that pharmacy was also victim to that, lamenting that the apothecaries of the beginning of the century—along with the druggists of 1897—had largely become "relics of the past."<ref name="KremersTheManu97">{{cite journal |url=https://books.google.com/books?id=4BU4AQAAMAAJ&pg=PA61&dq=manufacturing+laboratory |title=The Manufacturing Laboratory in the Household of Pharmacy |journal=Pharmaceutical Review |author=Kremers, E. |volume=15 |issue=4 |pages=61–7 |date=April 1897 |accessdate=12 April 2023}}</ref> Kremers also touched upon another complaint popular at the time: that of pharmacy as a money-making venture.<ref name="TWDDrugClerks02" /><ref name="KremersTheManu97" /> In his editorial, Kremers says:
* [http://labstaff.com/ Laboratory Staffing, Inc.] (Minnesota)
 
* [http://www.labtechkc.com/ Labtech Specialty Staffing] (Kansas / Missouri)
<blockquote>It is a hope cherished by some that higher education will revolutionize pharmacy of today and lift her out of her present unenviable situation. The manufacturing industries, however, have revolutionized pharmacy of fifty years ago and are to no small extent coresponsible for the present state of affairs. The pharmaceutical profession as a whole is justified in asking what a particular branch is doing for the general good. Is the pharmaceutical manufacturer in the erection of his buildings, in the equipment of his laboratories and in the selection of his working force simply bent upon making so many thousands of dollars a paying investment, viewed from a merely commercial standpoint, or are his doings influenced to some extent to at least by higher than purely necessary motives.</blockquote>
* [http://www.mitchellmartin.com Mitchell Martin] (New York)
 
* [http://www.nuwestgroup.com/about/labtemps/ NuWest] (Washington)
By the early years of 1900, recognition of the sea-level change to the apothecary, pharmacist, and manufacturing laboratory had arguably gained traction, and by 1920 it was largely accepted<ref name="BealAward19">{{cite journal |url=https://books.google.com/books?id=GQlOAAAAMAAJ&pg=PA475&dq=manufacturing+laboratory |title=Award of the Joseph B. Remington Honor Medal |journal=The Midland Druggist and Pharmaceutical Review |author=Diner, J.; Beal, J.H. |volume=LIII |issue=12 |pages=475–9 |date=December 1919 |accessdate=12 April 2023}}</ref>. Writing for ''The Rocky Mountain Druggist'' in 1908, pharmaceutical doctor Geo H. Meeker laid it out in no uncertain terms:
* [http://www.stovermedicalservices.com/?page_id=20 Stover Medical Support Services] (Missouri / Illinois)
 
* [http://temporarylabservices.com/801.html Temporary Lab Services] (Virginia)  
<blockquote>Large manufacturing establishments can, for the most part, furnish the druggist at lower prices, with better authentic goods than he himself could produce, assay and guarantee. The inevitable result is that the druggist of today purchases finished products rather than raw materials as did the apothecary of yesterday. It is obvious that a large manufacturing establishment, conducted on ethical lines, employing a complete corps of specialists, buying raw materials to the best advantage and by assay only, making preparations on a large and intelligent technical scale and testing and assying the finished products, does a work that is too immense in its scope for the individual apothecary ... Our present remnant of the drug store laboratory is, as in the past, essentially a manufacturing laboratory. It is of limited and rapidly vanishing scope because the small local laboratory man cannot successfully compete with his rivals, the great and highly-organized factories.</blockquote>
 
Similar comments were being made by Pearson in 1911<ref name="PearsonThePrep11" />, Thiesing in 1915<ref name="Thiesing15">{{cite journal |url=https://books.google.com/books?id=b_5EAQAAMAAJ&pg=PA1203&dq=manufacturing+laboratory |title=Proceedings of the Joint Session of the Commercial Section and Section on Education and Legislation - Chairman Thiesing's Address |journal=The Journal of the Americam Pharmaceutical Association |author=Thiesing, E.H. |volume=IV |issue=10 |pages= |date=October 1915 |accessdate=12 April 2023}}</ref>, and Beal in 1919.<ref name="BealAward19" /> Beal in particular spoke solemnly of the transition, largely complete by the time of his acceptance of the Joseph P. Remington Honor Medal in 1919. Speaking of Remington and his experiences in pharmacy, until his death in 1918, Beal said<ref name="BealAward19" />:
 
<blockquote>Professor Remington's professional experience bridged the space between two distinct periods of pharmaceutical development. When he began his apprenticeship the apothecary, as he was then commonly called, was the principal manufacturer as well as the purveyor of medical supplies ... He lived to see the period when the apothecary ceased to be the principal producer of medicinal compounds and became mainly the purveyor of preparations manufactured by others, and when the medicinal agents in most common use assumed a character that required for the successful production the resources of establishments maintained by large aggregations of capital and employing large numbers of specially trained workers.
 
To those who knew him intimately it was evident that although Professor Remington did not welcome the passing of the manufacturing functions of the apothecary to the large laboratory, he at length came to realize that such a change was inevitable, that it was but a natural step in the process of social evolution, and that the logical action of the apothecary was not to resist that which he could neither prevent nor change, but to readjust himself to the new conditions.</blockquote>
 
Of course, by then, the rise of the industrial research lab within large-scale manufacturing enterprises was in full swing.
 
====1.1.3 The rise of the industrial research lab within large-scale manufacturing, and today's manufacturing landscape====
Like the small, privately owned manufacturing labs evolving to large-scale company-run manufacturing labs, so did the research processes of prior days. The individual tinkering with research in their private laboratory and making small batches of product gave way to a collective of individuals with more specialized talents cooperatively working in a large industrial manufacturing center towards a common, often complex research goal, i.e., within the industrial research laboratory.<ref name="MeesTheOrg20">{{cite book |url=https://books.google.com/books?id=rDIuAAAAYAAJ&printsec=frontcover&dq=industrial+research+laboratories |title=The Organization of Industrial Scientific Research |chapter=Chapter 1: Introduction |author=Mees, C.E.K. |publisher=McGraw-Hill Book Company, Inc |pages=4–10 |year=1920 |accessdate=12 April 2023}}</ref><ref name="BoydPutting24">{{cite journal |url=https://books.google.com/books?id=lYkiAQAAMAAJ&pg=RA23-PA22&dq=industrial+research+laboratories |title=Putting Research to Work |journal=A.E.C. Bulletin - Invention and The Engineer's Relation to It |author=Boyd, T.A. |publisher=American Engineering Council |pages=22–9 |date=May 1938 |accessdate=12 April 2023}}</ref> Those larger manufacturing entities that didn't have an industrial research lab were beginning to assess the value of adding one, while smaller enterprises that didn't have the resources to support an extensive collection of manufacturing and research labs were increasingly joining forces "to maintain laboratories doing work for the whole industry."<ref name="MeesTheOrg20" />
 
But what drove the advance of the industrial research lab? As the National Research Council pointed out in 1940, "individuals working independently could not, for very long, provide the technical and scientific knowledge essential to a rapidly developing industrial nation."<ref name="NRCRsearch40">{{cite book |url=https://nap.nationalacademies.org/read/20233/chapter/4#34 |title=Research—A National Resource, II—Industrial Research |author=National Research Council |publisher=United States Government Printing Office |date=December 1940 |accessdate=13 April 2023}}</ref> Newly emerging industries had a need for new knowledge to feed their growth, and they proved to be the early adopters of establishing separate research departments or divisions in their businesses, unlike businesses in long-established industries. The First World War was also responsible for driving organized research efforts in various industries to solve not only wartime problems but also plant the seed of development in peacetime industries. By 1920, two-thirds of all research workers surveyed by the National Research Council were employed in the emerging electrical, chemical, and rubber industries, though the overall adoption of industrial research approaches was still limited across all companies.<ref name="NRCRsearch40" />
 
In 1917, the previously mentioned Charles McDowell presented his view of American research and manufacturing methods of his time, referring to research as "diligent inquiry."<ref name="McDowellAmerican17" /> In his work, McDowell stated three types of research that leads up to the manufacturing process: pure scientific inquiry, industrial research, and factory research. He noted that of pure scientific inquiry, little thought is typically given to whether the research—often conducted by university professors—will have any real commercial value, though such value is able to emerge from this fundamental research. As for factory research, McDowell characterized it as full-scale factory-level operations that range from haphazard approaches to well-calculated contingency planning, all of which could make or break the manufacturing business.
 
In regards to the middle category of industrial research, McDowell made several observations that aptly described the state of manufacturing research in the early 1900s. He noted that unlike pure scientific inquiry, industrial research had commercial practicality as a goal, often beginning with small-scale experiments while later seeking how to reproduce those theoretical results into large-scale manufacturing. He also reiterated his point about needing to "have good backing" financially. "The larger manufacturer maintains his own staff and equipment to carry out investigations along any line that may seem desirable," he said, "but the smaller industries are not able to support an establishment and must rely on either consulting engineers or turn their problems over to some equipped public or private laboratory to solve."<ref name="McDowellAmerican17" />
 
In his 1920 book ''The Organization of Industrial Scientific Research'', Mees presented these three types of research somewhat similarly, though in the context of the industrial laboratory and its operations. Mees argued that industrial laboratories could be classified into three divisions<ref name="MeesTheOrg20" />:
 
*Laboratories "working on pure theory and the fundamental sciences associated with the industry," aligning in part with McDowell's "pure scientific inquiry";
*Work laboratories "exerting analytical control over materials, processes and product," aligning slightly with McDowell's "factory research" but more akin to the modern quality control lab; and
*Industrial laboratories "working on improvements in product and in processes," aligning with McDowell's "industrial research."
 
Mees argued in particular that those industrial research laboratories that simply improve products and processes were not doing enough; they should, necessarily, also direct some of their goals towards more fully understanding the fundamental and underlying theory of the topic of research.<ref name="MeesTheOrg20" /> In other words, Mees suggested that those labs simply working on theoretical and fundamental science research, as well as those labs conducting industrial research to improve products and processes, shouldn't necessarily function in separate vacuums. "Research work of this fundamental kind involves a laboratory very different from the usual works laboratory and also investigators of a different type from those employed in a purely industrial laboratory," he noted. Of course, this hybrid approach to fundamental and industrial research was largely reserved for the largest of manufacturers, and solutions were needed for smaller manufacturing endeavors. Here, like McDowell in 1917, Mees argued for smaller businesses with limited resources adopting both cooperative laboratory (those businesses that pool resources together for a fully supported research laboratory) and consulting laboratory (a third-party lab with the resources to fully study a problem, undertake investigations, model a manufacturing process, and implement that process into its client's factory, all for a fee) approaches.<ref name="MeesTheOrg20" /> With such solutions, the industrial research laboratory continued to take on a new level of complexity to address emerging industry needs, far from the humble origins of an early nineteenth-century manufacturing laboratory.
 
This growth or industrial research would continue onward from the twentieth century into the twenty-first century. In 1921, some 15 companies maintained research groups of more than 50 people; by 1938, there were 120 such businesses.<ref name="NRCRsearch40" /> By the 1990s, "the share of funding for basic research provided by industry actually grew from 10 percent to 25 percent of the national total, even though basic research accounted for just 5-7 percent of total R&D expenditures by industry."<ref name="UsselmanResearch13">{{cite web |url=https://economics.yale.edu/sites/default/files/usselman_paper.pdf |title=Research and Development in the United States since 1900: An Interpretive History |author=Usselman, S.W. |publisher=Yale University |date=11 November 2013 |accessdate=13 April 2023}}</ref> This trend of large research groups continues today, though with the recognition that smaller teams may still have advantages. In a 2019 article in the ''Harvard Business Review'', Wang and Evans recognize "large teams as optimal engines for tomorrow’s largest advances," while smaller research teams are better poised to ask disruptive questions and make innovative discoveries.<ref name="WangResearch19">{{cite web |url=https://hbr.org/2019/02/research-when-small-teams-are-better-than-big-ones |title=Research: When Small Teams Are Better Than Big Ones |work=Harvard Business Review |authors=Wang, D.; Evans, J.A. |date=21 February 2019 |accessdate=13 April 2023}}</ref>
 
 
===1.2 Laboratory roles and activities in the industry===
Today, the "manufacturing laboratory" is a complex entity that goes beyond the general idea of a lab making or researching things. Many of the historical aspects discussed prior still hold today, but other aspects have changed. As indicated in the introduction, the world of manufacturing encompasses a wide swath of industries and sub-industries, each with their own nuances. Given the nuances of pharmaceutical manufacturing, food and beverage development, petrochemical extraction and use, and other industries, it's difficult to make broad statements about manufacturing laboratories in general. However, the rest of this guide will attempt to do just that, while at times pointing out a few of those nuances found in specific industries.
 
The biggest area of commonality is found, unsurprisingly, in the roles manufacturing-based labs play today, as well as the types of lab activities they're conducting within those roles. These roles prove to be important in the greater scheme of industry activities, in turn providing a number of benefits to society. As gleaned from prior discussion, as well as other sources, these laboratory roles can be broadly broken into three categories: research and development (R&D), pre-manufacturing and manufacturing, and post-production regulation and security. Additionally, each of these categories has its own types of laboratory activities.
 
The scientific disciplines that go into these laboratory roles and activities is as diverse as the manufacturing industries and sub-industries that make up the manufacturing world. For example, the
food and beverage laboratory taps into disciplines such as [[biochemistry]], [[biotechnology]], [[chemical engineering]], [[chemistry]], fermentation science, materials science, [[microbiology]], molecular gastronomy, and nutrition.<ref name="NolletHand15">{{cite book |url=https://books.google.com/books?id=KtAdCgAAQBAJ&printsec=frontcover |title=Handbook of Food Analysis (Two Volume Set) |editor=Nollet, L.M.L.; Toldrá, F. |publisher=CRC Press |edition=3rd |pages=1568 |year=2015 |isbn=9781482297843}}</ref><ref name="NielsenFood15">{{cite book |url=https://books.google.com/books?id=i5TdyXBiwRsC&printsec=frontcover |title=Food Analysis Laboratory Manual |author=Nielsen, S. |publisher=Springer |pages=177 |edition=2nd |year=2015 |isbn=9781441914620}}</ref><ref name="DouglasTheLabs22">{{cite book |url=https://www.limswiki.org/index.php/LII:The_Laboratories_of_Our_Lives:_Labs,_Labs_Everywhere!/Labs_by_industry:_Part_2 |chapter=Labs by industry: Part 2 |title=The Laboratories of Our Lives: Labs, Labs Everywhere! |author=Douglas, S.E. |publisher=LIMSwiki |edition=2nd |date=July 2022 |accessdate=13 April 2023}}</ref><ref>{{Cite book |last=Bhandari, B.; Roos, Y.H. |date=2012 |editor-last=Bhandari |editor-first=Bhesh |editor2-last=Roos |editor2-first=Yrjö H. |title=Food Materials Science and Engineering |chapter=Chapter 1: Food Materials Science and Engineering: An Overview |publisher=Wiley-Blackwell |place=Chichester, West Sussex, UK ; Ames, Iowa |pages=1–25 |isbn=978-1-4051-9922-3}}</ref> However, the paper and printing industry taps into disciplines such as biochemistry, [[biology]], chemistry, environmental science, engineering, forestry, and physics.<ref name="BajpaiEnviro10">{{cite book |url=https://books.google.com/books?id=zjEeUpwepFMC&printsec=frontcover |title=Environmentally Friendly Production of Pulp and Paper |chapter=Chapter 2: Overview of Pulp and Papermaking Processes |author=Bajpai, P. |publisher=John Wiley & Sons |pages=8–45 |year=2010 |isbn=9780470528105 |accessdate=13 April 2023}}</ref><ref>{{Citation |last=Nykänen |first=Panu |date=2018 |editor-last=Särkkä |editor-first=Timo |editor2-last=Gutiérrez-Poch |editor2-first=Miquel |editor3-last=Kuhlberg |editor3-first=Mark |title=Research and Development in the Finnish Wood Processing and Paper Industry, c. 1850–1990 |url=http://link.springer.com/10.1007/978-3-319-94962-8_3 |work=Technological Transformation in the Global Pulp and Paper Industry 1800–2018 |publisher=Springer International Publishing |place=Cham |volume=23 |pages=35–64 |doi=10.1007/978-3-319-94962-8_3 |isbn=978-3-319-94961-1 |accessdate=2023-04-13}}</ref> By extension, the reader can imagine that these and other industries also have a wide variety of laboratory techniques associated with their R&D, manufacturing, and post-production activities.
 
The following subsections more closely examine the three roles manufacturing-based labs can play, as well as a few examples of lab-related activities found within those roles.
 
====1.2.1 R&D roles and activities====
The National Institute of Standards and Technology (NIST) and its Technology Partnerships Office offer a detailed definition of manufacturing-related R&D as an activity "aimed at increasing the competitive capability of manufacturing concerns," and that "encompasses improvements in existing methods or processes, or wholly new processes, machines or system."<ref name="NISTDefin19">{{cite web |url=https://www.nist.gov/tpo/definition-manufacturing-related-rd |title=Definition of Manufacturing-related R&D |author=Technology Partnerships Office |publisher=National Institute of Standards and Technology |date=31 July 2019 |accessdate=14 April 2023}}</ref> They break this down into four different technology levels<ref name="NISTDefin19" />:
 
*Unit process-level technologies that create or improve manufacturing processes,
*Machine-level technologies that create or improve manufacturing equipment,
*Systems-level technologies for innovation in the manufacturing enterprise, and
*Environment- or societal-level technologies that improve workforce abilities and manufacturing competitiveness.
 
Obviously, this definition applies to actual development of and innovation towards methods of improving and streamlining manufacturing processes. However, this same concept can, in part, can be applied to the actual products made in a manufacturing plant. Not only does product-based R&D focus on improving "existing methods and processes," but it also focuses on "manufacturing competitiveness" by developing new and innovating existing products that meet end users' needs. Laboratories play an manufacturing-based R&D laboratories play an important role in this regard.
 
The laboratory participating in this role is performing one or more tasks that relate to the development or improvement of a manufactured good. This often leads to a commercial formulation, process, or promising insight into a product. The R&D lab may appear outside the manufacturing facility proper, but not necessarily always. Some manufacturing companies may have an entire research complex dedicated to creating and improving some aspect of their products.<ref name="MonBreak16">{{cite web |url=https://ir.mondelezinternational.com/news-releases/news-release-details/mondelez-international-breaks-ground-new-research-development |title=Mondelez International Breaks Ground for New Research & Development Center in Poland |publisher=Mondelez International |date=08 June 2016 |accessdate=13 April 2023}}</ref> Other companies may take their R&D to a third-party consulting lab dedicated to conducting development and formulation activities for manufacturers.<ref name="BSCommForm">{{cite web |url=https://www.bevsource.com/news/why-you-need-commercial-formula |title=Why You Need A Commercial Formula |publisher=BevSource |date=13 August 2022}}</ref><ref name="GudeSol19">{{cite book |chapter=Solutions Commonly Applied in Industry and Outsourced to Expert Laboratories |title=Food Contact Materials Analysis: Mass Spectrometry Techniques |author=Gude, T. |editor=Suman, M. |publisher=Royal Society of Chemistry |doi=10.1039/9781788012973-00245 |isbn=9781788017190 |year=2019}}</ref> Industrial research activities aren't confined to manufacturers, however. Some higher education institutions provide laboratory-based research and development opportunities to students engaging in work-study programs, often in partnership with some other commercial enterprise.<ref name="HartFoodBev">{{cite web |url=https://www.hartwick.edu/about-us/center-for-craft-food-and-beverage/ |title=Hartwick College Center for Craft Food & Beverage |publisher=Hartwick College |accessdate=13 April 2023}}</ref>
 
The following types of lab-related activities may be associated with the R&D role:
 
'''Overall product development and innovation''': Jain ''et al.'' noted in their book on managing R&D activities that in 2010, 60 percent of U.S. R&D was focused on product development, while 22 percent focused on applied research and 18 percent on basic research. However, they also argue that any R&D lab worth its weight should have a mix of these activities, while also including customer participation in the needs assessment and innovation activities that take place in product development and other research activities. Jain ''et al.'' define a manufacturer's innovation activities as "combining understanding and invention in the form of socially useful and affordable products and processes."<ref>{{Cite book |url=https://books.google.com/books?id=nSgebaFKwvMC&pg=PA8 |last=Jain |first=Ravi |last2=Triandis |first2=Harry Charalambos |last3=Weick |first3=Cynthia Wagner |date=2010 |title=Managing research, development and innovation: Managing the unmanageable |chapter=Chapter 1: R&D Organizations and Research Categories |edition=3rd |publisher=Wiley |place=Hoboken, N.J |pages=8 |isbn=978-0-470-40412-6}}</ref> As the definition denotes, newly developed products ("offerings") and processes (usually which improve some level of efficiency and effectiveness) come out of innovation activities. Additionally, platforms that turn existing components or building blocks into a new derivative offering (e.g., a new model or "generation" of product), as well as "solutions that solve end-to-end customer problems," can be derived from innovation. Those activities can focus on more risky radical innovation to a new product or take a more cautious incremental approach to improvements on existing products.<ref>{{Cite book |url=https://books.google.com/books?id=nSgebaFKwvMC&pg=PA240 |last=Jain |first=Ravi |last2=Triandis |first2=Harry Charalambos |last3=Weick |first3=Cynthia Wagner |date=2010 |title=Managing research, development and innovation: Managing the unmanageable |chapter=Chapter 12: Models for Implementing Incremental and Radical Innovation |edition=3rd |publisher=Wiley |place=Hoboken, N.J |pages=240–241 |isbn=978-0-470-40412-6}}</ref>
 
'''Reformulation''': Reformulation involves the material substitution of one or more raw materials used in the production of a product to accomplish some stated goal. That goal may be anything from reducing the toxicity or volume of wastes generated<ref name=":0">{{Cite book |last=Dupont |first=R. Ryan |last2=Ganesan |first2=Kumar |last3=Theodore |first3=Louis |date=2017 |title=Pollution prevention: sustainability, industrial ecology, and green engineering |url=https://books.google.com/books?id=3m4NDgAAQBAJ&pg=PA382 |edition=Second edition |publisher=CRC Press, Taylor & Francis Group, CRC Press is an imprint of the Taylor & Francis Group, an informa business |place=Boca Raton |pages=382 |isbn=978-1-4987-4954-1}}</ref><ref name=":1">{{Cite book |date=2022 |editor-last=Wang |editor-first=Lawrence K. |editor2-last=Wang |editor2-first=Mu-Hao Sung |editor3-last=Hung |editor3-first=Yung-Tse |title=Waste Treatment in the Biotechnology, Agricultural and Food Industries: Volume 1 |url=https://books.google.com/books?id=JxaIEAAAQBAJ&pg=PA108 |series=Handbook of Environmental Engineering |language=en |publisher=Springer International Publishing |place=Cham |volume=26 |pages=108–9 |doi=10.1007/978-3-031-03591-3 |isbn=978-3-031-03589-0}}</ref><ref name=":2">{{Cite web |last=Committee on Environment and Public Works |date=28 September 2000 |title=Federal Formulated Fuels Act of 2000: Report of the Committee on Environment and Public Works, United States Senate |url=https://books.google.com/books?id=dk-gi6ZZ_KsC&pg=PA1 |publisher=U.S. Government Printing Office |accessdate=13 April 2023}}</ref> and improving the overall healthiness of the product<ref name=":3">{{Cite book |last=World Health Organization |date=2022 |title=Reformulation of food and beverage products for healthier diets: policy brief |url=https://apps.who.int/iris/handle/10665/355755 |language=en |publisher=World Health Organization |place=Geneva |isbn=978-92-4-003991-9}}</ref><ref name=":4">{{Cite book |date=2019 |editor-last=Raikos |editor-first=Vassilios |editor2-last=Ranawana |editor2-first=Viren |title=Reformulation as a Strategy for Developing Healthier Food Products: Challenges, Recent Developments and Future Prospects |url=https://books.google.com/books?id=zkG1DwAAQBAJ&pg=PA1 |language=en |publisher=Springer International Publishing |place=Cham |doi=10.1007/978-3-030-23621-2 |isbn=978-3-030-23620-5}}</ref>, to transitioning from traditional holistic medicine approaches to more modern biomedical approaches.<ref name=":5">{{Cite book |date=2019 |editor-last=Lechevalier |editor-first=Sébastien |title=Innovation Beyond Technology: Science for Society and Interdisciplinary Approaches |url=https://books.google.com/books?id=Sx2nDwAAQBAJ&pg=PA133 |series=Creative Economy |language=en |publisher=Springer Singapore |place=Singapore |pages=133–7 |doi=10.1007/978-981-13-9053-1 |isbn=978-981-13-9052-4}}</ref> Examples of products that have seen reformulation by manufacturers include:
 
*Paints and other coatings<ref name=":0" />,
*Fuels such as gasoline<ref name=":2" />,
*Foods and beverages<ref name=":3" /><ref name=":4" />, and
*Pharmaceuticals and cosmetics.<ref name=":1" /><ref name=":5" />
 
In the end, reformulation is a means for improving impacts on the end user, the environment, or even the long-term budget of the manufacturer. The type of lab activities associated with reformulation largely varies by product; the laboratory methods used to reformulate gasoline may be quite different from those in a food and beverage lab. Reformulation can also be a complicated process, as found with pharmaceutical products. The reformulated product "must have the same therapeutic effect, stability, and purity profile" as the original, while maintaining pleasing aesthetic qualities to the end user. Adding to the problem is regulatory approval times of such pharmaceutical reformulations.<ref name=":1" />
 
'''Nondestructive testing and materials characterization''': Raj ''et al.'' describe nondestructive testing (NDT) as "techniques that are based on the application of physical principles employed for the purpose of determining the characteristics of materials or components or systems and for detecting and assessing the inhomogeneities and harmful defects without impairing the usefulness of such materials or components or systems."<ref name=":7">{{Cite book |last=Raj, B.; Jayakumar, T.; Thavasimuthu, M. |year=2014 |title=Practical Non-Destructive Testing |url=https://archive.org/details/practicalnondest0000rajb |edition=Ninth Reprint, 3rd |publisher=Narosa Publishing House Pvt. Ltd |isbn=9788173197970}}</ref> NDT has many applications, including with food, steel, petroleum, medical devices, transportation, and utilities manufacturing, as well as electronics manufacturing.<ref>{{Cite book |last=Huang |first=Songling |last2=Wang |first2=Shen |date=2016 |title=New Technologies in Electromagnetic Non-destructive Testing |url=https://books.google.com/books?id=YuCvCwAAQBAJ&printsec=frontcover |chapter=Chapter 1: The Electromagnetic Ultrasonic Guided Wave Testing |series=Springer Series in Measurement Science and Technology |language=en |publisher=Springer Singapore |place=Singapore |pages=1 |doi=10.1007/978-981-10-0578-7 |isbn=978-981-10-0577-0}}</ref><ref>{{Cite book |date=2020-09-29 |editor-last=Tian |editor-first=Guiyun |editor2-last=Gao |editor2-first=Bin |title=Electromagnetic Non-Destructive Evaluation (XXIII) |url=https://books.google.com/books?id=by4NEAAAQBAJ&printsec=frontcover |series=Studies in Applied Electromagnetics and Mechanics |publisher=IOS Press |volume=45 |doi=10.3233/saem45 |isbn=978-1-64368-118-4}}</ref><ref>{{Cite book |date=2010 |editor-last=Jha |editor-first=Shyam N. |title=Nondestructive Evaluation of Food Quality: Theory and Practice |url=https://books.google.com/books?id=RXIJu3TRPWEC&printsec=frontcover |language=en |publisher=Springer Berlin Heidelberg |place=Berlin, Heidelberg |doi=10.1007/978-3-642-15796-7 |isbn=978-3-642-15795-0}}</ref> It also plays an important role in materials testing and characterization.<ref>{{Cite book |date=2016 |editor-last=Huebschen |editor-first=Gerhard |title=Materials characterization using nondestructive evaluation (NDE) methods |url=https://books.google.com/books?id=ZR1rBgAAQBAJ&printsec=frontcover |series=Woodhead Publishing series in electronic and optical materials |publisher=Elsevier/Woodhead Publishing |place=Amsterdam ; Boston |isbn=978-0-08-100040-3 |oclc=932174125}}</ref> NDT and materials testing is often used as a quality control mechanism during manufacturing (see the next subsection), but it can also be used during the initial R&D process to determine if a prototype is functioning as intended or a material is satisfactory for a given application.<ref name=":7" />
 
'''Stability, cycle, and challenge testing''': Multiple deteriorative catalysts can influence the shelf life of a manufactured product, from microbiological contaminants and chemical deterioration to storage conditions and the packaging itself. As such, there are multiple approaches to taming the effects of those catalysts, from introducing additives to improving the packaging.<ref name="SubramaniamTheStab16">{{Cite book |date=2016 |editor-last=Subramaniam |editor-first=Persis |title=The stability and shelf life of food |url=https://www.worldcat.org/title/mediawiki/oclc/956922925 |series=Woodhead Publishing Series in Food Science, Technology and Nutrition |edition=Second edition |publisher=Elsevier/WP, Woodhead Publishing |place=Amsterdam |isbn=978-0-08-100436-4 |oclc=956922925}}</ref> However, stability, cycle, and challenge testing must be conducted on many products to determine what deleterious factors are in play. The analytical techniques applied in stability, cycle, and challenge testing will vary based on, to a large degree, the product matrix and its chemical composition.<ref name="SubramaniamTheStab16" /> Microbiological testing is sure to be involved, particularly in challenge testing, which simulates what could happen to a product if contaminated by a microorganism and placed in a representative storage condition.<ref>{{Cite book |last=Komitopoulou, E. |date=2011 |editor-last=Kilcast |editor-first=David |editor2-last=Subramaniam |editor2-first=Persis |title=Food and beverage stability and shelf life |url=https://www.worldcat.org/title/mediawiki/oclc/838321011 |chapter=Microbiological challenge testing of food |series=Woodhead Publishing Series in Food Science, Technology and Nutrition |publisher=WP, Woodhead Publ |place=Oxford |pages=507–526 |isbn=978-0-85709-254-0 |oclc=838321011}}</ref><ref name=":6">{{Cite book |last=Chen, S.-C. |date=2018 |editor-last=Warne |editor-first=Nicholas W. |editor2-last=Mahler |editor2-first=Hanns-Christian |title=Challenges in Protein Product Development |url=https://books.google.com/books?id=LyVhDwAAQBAJ&pg=PA264&dq=Stability,+cycle,+and+challenge+testing |chapter=Chapter 12: Container Closure Integrity Testing of Primary Containers for Parenteral Products |series=AAPS Advances in the Pharmaceutical Sciences Series |language=en |publisher=Springer International Publishing |place=Cham |volume=38 |pages=257–290 |doi=10.1007/978-3-319-90603-4 |isbn=978-3-319-90601-0}}</ref> Calorimetry, spectrophotometry, spectroscopy, and hyperspectral imaging may be used to properly assess color, particularly when gauging food quality.<ref name="SubramaniamTheStab16" /> Other test types that may be used include water content, texture, viscosity, dispersibility, glass transition, and gas chromatography.<ref name="SubramaniamTheStab16" /> In the end, the substrate being examined will be a major determiner of what kind of lab methods are used. The lab method chosen for stability, cycle, and challenge testing should optimally be one that errs on the side of caution and is appropriate to the test, even if it takes longer. As Chen notes: "A longer test cycle is less a concern for stability protocol as the study typically has a limited number of samples. Applying a less reliable method to the limited number of samples in a stability study can be problematic."<ref name=":6" />
 
'''Packaging analysis and extractable and leachable testing''': Materials that contact pharmaceuticals, foods and beverages, cosmetics, and more receive special regulatory consideration in various parts of the world. This includes alloys, bioplastics, can coatings, glass, metals, regenerated cellulose materials, paper, paperboard, plastics, printing inks, rubber, textiles, waxes, and woods.<ref>{{Cite book |date=2021 |editor-last=Baughan |editor-first=Joan Sylvain |title=Global Legislation for Food Contact Materials |url=https://www.worldcat.org/title/mediawiki/oclc/on1272898230 |series=Woodhead Publishing Series in Food Science, Technology and Nutrition |edition=Second edition |publisher=Woodhead Publishing |place=Oxford |isbn=978-0-12-821181-6 |oclc=on1272898230}}</ref> As such, meeting regulatory requirements and making inroads with packaging development can be a complicated process. Concerns of chemicals and elements that can be extracted or leach into sensitive products add another layer of complexity to developing and choosing packaging materials for many manufactured goods. This requires extractable and leachable testing at various phases of product development to ensure the packaging selected during formulation is safe and effective.<ref name=":6" /><ref name="BaloghTesting11">{{cite journal |url=https://www.chromatographyonline.com/view/testing-critical-interface-leachables-and-extractables |title=Testing the Critical Interface: Leachables and Extractables |author=Balogh, M.P. |journal=LCGC North America |volume=29 |issue=6 |pages=492–501 |year=2011}}</ref> Extractable and leachable testing for packaging could involve a number of techniques ranging from gas and liquid chromatography to ion chromatography and inductively coupled plasma mass spectrometry.<ref name="LAExtract">{{cite web |url=https://leeder-analytical.com/extractables-and-leachables-testing/ |title=Extractables and leachables testing (E&Ls) |publisher=Leeder Analytical |accessdate=14 April 2023}}</ref>
 
====1.2.2 Pre-manufacturing and manufacturing roles and activities====
The laboratory participating in these roles is performing one or more tasks that relate to the preparative (i.e., pre-manufacturing) or [[quality control]] (QC; i.e., manufacturing) activities of production. An example of preparative work is conducting allergen, calorie, and nutrition testing for a formulated food and beverage product. Calorie and nutrition testing—conducted in part as a means of meeting regulation-driven labeling requirements—lands firmly in the role of pre-manufacturing activity, most certainly after commercial formulation and packing requirements have been finalized but before the formal manufacturing process has begun.<ref name="BSNutTest">{{cite web |url=https://www.bevsource.com/news/what-do-i-need-know-about-nutrition-testing-my-beverage-brand |title=What Do I Need To Know About Nutrition Testing for My Beverage Brand? |publisher=BevSource |date=14 April 2023}}</ref> Allergen testing works in a similar fashion, though the manufacturer ideally uses a full set of best practices for food allergen management and testing, from confirming allergens (and correct labeling) from ingredients ordered to performing final production line cleanup (e.g., when a new allergen-free commercial formulation is being made or an unintended contamination has occurred).<ref name="CA80-2020">{{cite web |url=https://www.fao.org/fao-who-codexalimentarius/sh-proxy/en/?lnk=1&url=https%253A%252F%252Fworkspace.fao.org%252Fsites%252Fcodex%252FStandards%252FCXC%2B80-2020%252FCXC_080e.pdf |format=PDF |title=Code of Practice on Food Allergen Management for Food Business Operators, CXC 80-2020 |work=Codex Alimentarius |date=2020 |accessdate=14 April 2023}}</ref> These types of pre-production analyses aren't uncommon to other types of manufacturing, discussed below.
 
As for in-process manufacturing QC, some QC and [[quality assurance]] (QA) methods may already be built into the manufacturing process in-line, not requiring a lab. For example, poka-yokes—mechanisms that inhibit, correct, or highlight errors as they occur, as close to the source as possible—may be built in-line to a manufacturing process to prevent a process from continuing should a detectable error occur, or until a certain condition has been reached.<ref name="DanielPoka21">{{cite web |url=https://www.techtarget.com/searcherp/definition/poka-yoke |title=poka-yoke |author=Daniel, D. |work=TechTarget ERP - Definition |date=October 2021 |accessdate=14 April 2023}}</ref><ref>{{Cite book |last=Dogan, O.; Cebeci, U. |date=2021 |editor-last=García Alcaraz |editor-first=Jorge Luis |editor2-last=Sánchez-Ramírez |editor2-first=Cuauhtémoc |editor3-last=Gil López |editor3-first=Alfonso Jesús |title=Techniques, Tools and Methodologies Applied to Quality Assurance in Manufacturing |url=https://link.springer.com/10.1007/978-3-030-69314-5 |chapter=Chapter 1: An Integrated Quality Tools Approach for New Product Development |language=en |publisher=Springer International Publishing |place=Cham |pages=3–22 |doi=10.1007/978-3-030-69314-5 |isbn=978-3-030-69313-8}}</ref> However, despite the value of inline QC/QA, these activities also happen beyond the production line, in the laboratory (discussed further, below).
 
The following types of lab-related activities may be associated with the pre-manufacturing and manufacturing role:
 
'''Various pre-manufacturing analyses''': Also known as pre-production, some level of laboratory activity takes place here. Like the previously mentioned food and beverage industry, the garment manufacturing industry will have its own laboratory-based pre-production activities, including testing various raw material samples for potential use and quality testing pre-production samples before deciding to go into full production.<ref name="BaukhPreprod20">{{cite web |url=https://techpacker.com/blog/manufacturing/pre-production-processes-in-garment-manufacturing/ |title=Pre-production processes in garment manufacturing |author=Baukh, O. |work=Techpacker |date=14 October 2020 |accessdate=14 April 2023}}</ref> In another example, a manufacturer intending to produce "a new chemical substance for a non-exempt commercial purpose" in the U.S. must submit a pre-manufacture notice to the Environmental Protection Agency (EPA), which must include "test data on the effect to human health or the environment."<ref name="EPAFiling22">{{cite web |url=https://www.epa.gov/reviewing-new-chemicals-under-toxic-substances-control-act-tsca/filing-pre-manufacture-notice-epa |title=Filing a Pre-manufacture Notice with EPA |work=Reviewing New Chemicals under the Toxic Substances Control Act (TSCA) |publisher=U.S. Environmental Protection Agency |date=26 October 2022 |accessdate=14 April 2023}}</ref>
 
'''Quality control testing''': While QC testing can appear in multiple manufacturing laboratory roles, it's most noticeable in the pre-manufacturing and manufacturing role. Manufacturers in many industries have set up formal testing laboratories to better ensure that their products conform to a determined set of accepted standards, whether those standards come from a standards-setting organization


==References==
<references />


==Citation information for this chapter==
NDT and materials testing, discussed in the prior subsection about R&D, can also occur during the various phases of manufacturing, as part of an overall quality control effort.<ref name=":7" />
'''Chapter''': 5. Staffing and education requirements


'''Title''': ''The Comprehensive Guide to Physician Office Laboratory Setup and Operation''
====1.2.3 Post-production regulation and security roles and activities====
The laboratory participating in these roles is performing one or more tasks that relate to the post-production examination of products for regulatory, security, or accreditation purposes. Labs are often third parties accrediting a producer to a set of standards, ensuring regulatory compliance, conducting authenticity and adulteration testing, conducting security checks at borders, and applying contamination testing as part of an overall effort to track down contamination sources. In addition to ensuring a safer product, society also benefits from these and similar labs by better holding producers legally accountable for their production methods and obligations.


'''Author for citation''': Shawn E. Douglas
The following types of lab-related activities may be associated with the post-production regulation and security role:


'''License for content''': [https://creativecommons.org/licenses/by-sa/4.0/ Creative Commons Attribution-ShareAlike 4.0 International]
'''Authenticity and adulteration testing''':


'''Publication date''': June 2015
'''Accreditation-led testing''':  


<!--Place all category tags here-->
==References==
{{Reflist|colwidth=30em}}

Latest revision as of 23:30, 14 April 2023

Sandbox begins below

1. Introduction to manufacturing laboratories

According to McKinsey & Company, the U.S. manufacturing industry represents only 11 percent of U.S. gross domestic product (GDP) and eight percent of direct employment, yet it "makes a disproportionate economic contribution, including 20 percent of the nation’s capital investment, 35 percent of productivity growth, 60 percent of exports, and 70 percent of business R&D spending."[1] These categories of economic contribution are important as many of them indirectly point to how the work of laboratories is interwoven within the manufacturing industry. As we'll discuss later in this chapter, manufacturing-based laboratories primarily serve three roles: research and development (R&D), pre-manufacturing and manufacturing, and post-production regulation and security (e.g., through exports and trade). We can be sure that if U.S. manufacturers' efforts represent huge chunks of total business R&D spending, trade, and capital expenditure (capex), a non-trivial amount of laboratory effort is associated with that spending. Why? Because R&D, trade, and manufacturing quality control (QC) activities rarely can occur without laboratories backing up their work.[2][3][4][5]

Labs in the manufacturing sector provide vital services, including but not limited to quality assurance (QA), QC, production control, regulatory trade control (e.g., authenticity and adulteration), safety management, label claim testing, and packaging analysis. These activities occur in a wide array of manufacturing industries. Looking to the North American Industry Classification System (NAICS), employed by the U.S. Bureau of Labor Statistics (BLS), manufacturing industries and sub-industries include[6]:

  • apparel (e.g., knitted goods, cut-and-sew clothing, buttons and clasps)
  • chemical (e.g., pesticides, fertilizers, paints, cleaning products, adhesives, electroplating solutions)
  • electric power (e.g., light bulbs, household appliances, energy storage cells, transformers)
  • electronics (e.g., sensors, semiconductors, electrodes, mobile phones, computers)
  • food and beverage (e.g., baked goods, probiotics, preservatives, wine)
  • furniture (e.g., mattresses, sofas, window blinds, light fixtures)
  • leather (e.g., purses, saddles, footwear, bookbinding hides)
  • machinery (e.g., mining augers, air conditioning units, turbines, lathes)
  • materials (e.g., ceramics, cements, glass, nanomaterials)
  • medical equipment and supplies (e.g., ventilators, implants, lab equipment, prosthetics, surgical equipment)
  • metal forming and casting (e.g., steel beams, aluminum ingots, shipping containers, hand tools, wire)
  • paper and printing (e.g., cardboard, sanitary items, stationery, books, bookbinding papers)
  • petrochemical (e.g., solvents, fuel additives, biofuels, lubricants)
  • pharmaceutical and medicine (e.g., antivenom, vaccines, lab-on-a-chip diagnostic tests, cannabis products, nutraceuticals)
  • plastics and rubbers (e.g., dinnerware, tires, storage and shelving, outdoor furniture)
  • textiles (e.g., carpeting, upholstery, bulk fabric, yarn)
  • vehicular and aerospace (e.g., electric vehicles, reusable rocketry, railroad rolling stock, OEM auto parts)
  • wood (e.g., plywood, flooring, lumber, handrails)

If you've ever used a sophisticated two-part epoxy adhesive to repair a pipe crack, used an indoor sun lamp, gotten a lot of mileage out of a pair of leather gloves, received a medical implant, taken a medication, eaten a Twinkie, or ridden on Amtrak, one or more laboratories were involved somewhere in the manufacturing process before using that item. From endless research and testing of prototypes to various phases of quality and safety testing, laboratory science was involved. The importance of the laboratory in manufacturing processes can't be understated.

But what of the history of the manufacturing-focused lab? What of the roles played and testing conducted in them? What do they owe to safety and quality? This chapter more closely examines these questions and more.


1.1 Manufacturing labs, then and now

In 1852, the Putnam's Home Cyclopedia: Hand-Book of the Useful Arts was published as a dictionary-like source of scientific terms. Its definition of a laboratory at that time in U.S. history is revealing (for more on the equipment typically described with a laboratory of that time period, see the full definition)[7]:

Laboratory. The workshop of a chemist. Some laboratories are intended for private research, and some for the manufacture of chemicals on the large scale. Hence it is almost impossible to give a description of the apparatus and disposition of a laboratory which would be generally true of all. A manufacturing laboratory necessarily occupies a large space, while that of the scientific man is necessarily limited to a peculiar line of research. Those who study in organic chemistry have different arrangements than that of the mineral analyst.

This definition highlights the state of laboratories at the time: typically you either had a small private laboratory for experiments in the name of research and development (R&D) and producing prototype solutions, or you had a slightly larger "manufacturing laboratory" that was responsible for the creation of chemicals, reagents, or other substances for a wider customer base.[7][8][9] These laboratory types date back further than the mid-1800s, to be sure, though they also saw great change leading up to and after this time period. This is best characterized by the transition from the humble apothecary lab to the small-scale manufacturing laboratory before the mid-1800s, to the full-scale pharmaceutical manufacturing lab and facility well beyond the mid-1800s.

1.1.1 From apothecary to small-scale manufacturing laboratory

A critical area to examine in relation to the evolution of manufacturing laboratories involves pharmaceuticals and the apothecary, which is steeped in the tradition of making pharmaceutical preparations, as well as prescribing and dispensing them to customers. The idea of an individual who attempted to make medical treatments dates back to at least to 2000 BC, from which Sumerian documents reveal compounding formulas for various medicinal dosage types.[10] By 1540, Swiss physician and chemist Paracelsus made a significant contribution to the early apothecary, influencing "the transformation of pharmacy from a profession based primarily on botanic science to one based on chemical science."[10] Thanks to Paracelsus and other sixteenth century practitioners, the concept of the apothecary became more formalized and chemistry-based in the early seventeenth century. With this formalization came the need for the regulation of apothecaries to better ensure the integrity of the profession. For example, the Master, Wardens and Society of the Art and Mystery of Pharmacopolites of the City of London was founded in 1617 through the Royal Charter of James the First, requiring an aspiring apothecary to conduct an apprenticeship or pay a fee, followed by taking an examination proving the individual's knowledge, skill, and science in the art.[10][11]

However, despite this sort of early regulation, medical practitioners took exception to apothecaries encroaching upon the medical practitioners' own services, and apothecaries took exception to the untrained and uncertified druggists who were still performing the work of pharmacists. (As it turns out, these sorts of recriminations would continue on in some form or another into the beginning of the twenty-first century, discussed later.) But as an 1897 article from The Pharmaceutical Journal portrayed, the apothecaries likely wanted to have their cake and eat it too. "[W]hile the apothecaries urged, in the interest of the public, the desirability of a guarantee for the the competences of every person authorised to practise pharmacy," the journal noted, "they also sought, in their own interest, to extend the scope of their medical practice."[11] This led to further debate and changes over time, including British Parliament declaring medicinal preparations as "very proper objects for taxation" in 1783, while at the same time requiring non-apprenticed apothecaries to apply annually for a license. By this time, most apprenticed apothecaries ceased being perceived as mere pharmacists and more as medical practitioners, though the Society's power of conferring medical qualifications, given to them in 1617, were by this point largely lost.[11]

By the end of the eighteenth century, apothecaries and druggists were setting up their own manufacturing laboratories to make chemical and pharmaceutical products. However, these labs were likely still limited in scope. In 1897, The Pharmaceutical Journal portrayed manufacturing labs as such, in the scope of the growing Plough Court Pharmacy run by William Allen and Luke Howard[11]:

It is, however, difficult to at the present time to realise what must have been the position of a manufacturing chemist in 1797, or to comprehend, without some reflection, how limited was the range of his operations and how much his work was beset with difficulties which are now scarecely conceivable. At that time chemical industry was confined to the production of soap, the mineral acids, and some saline compounds then used in medicine. Among the latter, mercurial preperations held an important place, and some of these appear to have first received attention by the firm of Allen and Howard. The early laboratory account books of the firm mention ammoniacals, caustic potash, borax, argentic nitrate, and cream of tartar, as well as ether, benzoic acid, and refine camphor, which were then articles of the materia medics, citric, tartatic and oxalic acids, etc.

To be sure, other types of manufacturing were occurring during the rise and dominance of the apothecary, not just pharmaceutical manufacture. But, retrospectively, the pharmaceutical manufacturing lab in general was likely not in the best of shape as the nineteenth century approached. With several changes in Europe and United States in the early 1800s, the apothecary's manufacturing lab arguably saw more formalized and regulated activity, through various releases of pharmacopoeias[10][12], openings of new pharmacy schools (though still limited in scope)[13], publishing of books[13], and additional formalization of regulating legislation (such as Britain's Apothecaries Act of 1815).[11] By the time the United States Pharmacopeia came upon the scene in 1820, the apothecary was viewed as "competent at collecting and identifying botanic drugs and preparing from them the mixtures and preparations required by the physician."[10] Pharmaceutical historian Loyd Allen, Jr. refers to this time period as "a time that would never be seen again," a sort of Golden Age of the apothecary, given the increasingly rapid rate that scientific and technological discoveries were being made soon after, particularly in synthetic organic chemistry.[10]

Of course, the manufacturing lab—pharmaceutical and otherwise—had other issues as well. For example, just because a small-scale experimental R&D process yielded a positive result didn't mean that process was scalable to large-scale manufacturing. "Frequently, things work well on a small scale, and failure results when mass action comes into effect," noted Armour Fertilizer Company's president Charles McDowell in April 1917, while discussing American research methods.[14] Sometimes a process was sufficiently simple that switching to more robust and appropriate apparatuses was all that was needed to scale up from experiment to full production.[15] In other cases, a full-scale manufacturing laboratory process had yet to be developed, let alone the experiments conducted to develop a proof-of-concept solution in the experimental lab.[16]

Another challenge the manufacturing lab had was in ensuring the stability of any laboratory manufactured solution. Discussing the British Pharmacopoeia-introduced substance of sulphurous acid for afflictions of the throat, Fellow of the Chemical Society Charles Umney noted the stability considerations of the substance when made in the manufacturing laboratory[17]:

Now the Pharmacopoeia solution (which is about 37 volumes) was designedly made nearly one of saturation at the average summer temperature of this country, and, if one may be excused for making a guess, we described from calculations made from the above data of Bunsen's, and not practically worked out to see whether such a solution could be ordinarily obtained in the manufacturing laboratory without chance of failure, and, when made, be kept without great alteration in the various stages it would have to pass through, even if only from the manufacturer to the wholesale druggist, then to the pharmacists, in whose store it might retain for a year or more, being perhaps placed in a temperature many degrees above the point at which it was saturated, thereby causing expansion, liberation of gas, and inconvenience.

Difficulties aside, as the 1800s progressed, the resources of a collaboratory manufacturing laboratory were often greater than those of the individual private laboratory, with enterprising businesses increasingly turning to larger labs for greater and more high-quality quantities of materials. For example, in a letter from the Royal Institution of Great Britain, editor William Crookes discussed the discovery of thallium, noting that the manufacturing lab of noted manufacturing chemists Hopkin and Williams were able to prepare chloride of thallium for him from two hundredweight (cwt) in less time than it took Crookes to make 10 pounds of sulfur in his private laboratory.[18] This trend would continue into the late 1800s, for pharmaceutical and other manufactured goods.

1.1.2 From small-scale private manufacturing lab to larger-scale industrial manufacturing lab

By the 1860s, numerous changes to the paradigm of the manufacturing lab were beginning to take shape, with noticeable momentum away from the small-scale private manufacturing labs to those larger in scope and output, putting competitive pressures on the smaller manufacturing labs.[19] Take, for example, one of the largest U.S.-based enameled brick factories for its time, in 1896, which "[i]n addition to their manufacturing laboratory for slips, enamels and glazes, they maintain an analytical chemical laboratory, and have two chemists in their employ."[20] Ten years prior, a report on the visit to the experimental and manufacturing laboratories of Louis Pasteur highlights the need for a more sizeable facility for meeting demand for the anthrax vaccine[21]:

To meet the demands upon the laboratory work for the supply of anthrax vaccine, the preparation of this is now carried out in an establishment apart from the experimental laboratory in connection with the Ecole Normale, where it was originally started. In the Rue Vaquelin, under the charge of educated assistants, M. Chamberland carries out the preparation on a large scale—the necessity for this being apparent when regard is had to the statement of the quantity demanded for France and other countries.

The author, William Robertson, then goes into greater detail of the many rooms and floors of the building housing the manufacturing laboratory and its apparatuses, highlighting the grandness of the lab's efforts.

The change from small-scale private to larger-scale industrial manufacturing labs—in turn seemingly being supplanted by analytical laboratories[22]—is arguably best seen in the transition from the apothecary and pharmacist to the large-scale pharmaceutical manufacturer. During this time of change in the late 1800s, laws dictating higher manufacturing quality, educational requirements, and restrictions on who can sell medicines were derided, debated, or cheered, depending on who was involved.[23][24]

Reading for a meeting at the Kings County Pharmaceutical Society of Ohio, Charles E. Parker had the following to say about the state of the apothecary-turned-pharmacist in 1896, which fully highlights the transition from small-scale private to larger-scale industrial manufacturing of pharmaceuticals[24]:

The modern pharmacist succeeds to all the responsibilities and obligations of the ancient apothecary without opposition, but his utmost efforts have not preserved to him his inheritance of former privileges and emoluments ... Technical skill is of no use to the professional side of pharmacy unless it is used, and used for the public welfare as well as that of its possessor. The dispenser is the typical pharmacist. But where in former years his sphere included many activities and much manipulative expertness in the preparation of drugs, and even the production of many of them, the midern tendancy is for him to become a mere compounder and dispenser. Of course he is expected to know how, but actually is seldom required to perform the operations once a matter of constant routine. Step by step the productive processes of his little laboratory have been transferred to the works of large manufacturers. Year by year the pharmaceutical improvements and useful inventions which would once have conferred reputation and profit upon the dispensing pharmacies where they originated, have found a better market through these same manufacturers ... In addition, it is to be considered that some of the requisites of modern pharmacy are of a nature involving the use of expensive machinery and large plant, which places their production quite beyond the reach of the pharmacy.

Writing for the Pharmaceutical Review in 1897, editor Dr. Edward Kremers penned an editorial on the role of the manufacturing laboratory in the growing pharmaceutical industry, noting that "[d]uring the past hundred years a most remarkable industrial revolution has taken place," and that pharmacy was also victim to that, lamenting that the apothecaries of the beginning of the century—along with the druggists of 1897—had largely become "relics of the past."[25] Kremers also touched upon another complaint popular at the time: that of pharmacy as a money-making venture.[22][25] In his editorial, Kremers says:

It is a hope cherished by some that higher education will revolutionize pharmacy of today and lift her out of her present unenviable situation. The manufacturing industries, however, have revolutionized pharmacy of fifty years ago and are to no small extent coresponsible for the present state of affairs. The pharmaceutical profession as a whole is justified in asking what a particular branch is doing for the general good. Is the pharmaceutical manufacturer in the erection of his buildings, in the equipment of his laboratories and in the selection of his working force simply bent upon making so many thousands of dollars a paying investment, viewed from a merely commercial standpoint, or are his doings influenced to some extent to at least by higher than purely necessary motives.

By the early years of 1900, recognition of the sea-level change to the apothecary, pharmacist, and manufacturing laboratory had arguably gained traction, and by 1920 it was largely accepted[26]. Writing for The Rocky Mountain Druggist in 1908, pharmaceutical doctor Geo H. Meeker laid it out in no uncertain terms:

Large manufacturing establishments can, for the most part, furnish the druggist at lower prices, with better authentic goods than he himself could produce, assay and guarantee. The inevitable result is that the druggist of today purchases finished products rather than raw materials as did the apothecary of yesterday. It is obvious that a large manufacturing establishment, conducted on ethical lines, employing a complete corps of specialists, buying raw materials to the best advantage and by assay only, making preparations on a large and intelligent technical scale and testing and assying the finished products, does a work that is too immense in its scope for the individual apothecary ... Our present remnant of the drug store laboratory is, as in the past, essentially a manufacturing laboratory. It is of limited and rapidly vanishing scope because the small local laboratory man cannot successfully compete with his rivals, the great and highly-organized factories.

Similar comments were being made by Pearson in 1911[19], Thiesing in 1915[27], and Beal in 1919.[26] Beal in particular spoke solemnly of the transition, largely complete by the time of his acceptance of the Joseph P. Remington Honor Medal in 1919. Speaking of Remington and his experiences in pharmacy, until his death in 1918, Beal said[26]:

Professor Remington's professional experience bridged the space between two distinct periods of pharmaceutical development. When he began his apprenticeship the apothecary, as he was then commonly called, was the principal manufacturer as well as the purveyor of medical supplies ... He lived to see the period when the apothecary ceased to be the principal producer of medicinal compounds and became mainly the purveyor of preparations manufactured by others, and when the medicinal agents in most common use assumed a character that required for the successful production the resources of establishments maintained by large aggregations of capital and employing large numbers of specially trained workers. To those who knew him intimately it was evident that although Professor Remington did not welcome the passing of the manufacturing functions of the apothecary to the large laboratory, he at length came to realize that such a change was inevitable, that it was but a natural step in the process of social evolution, and that the logical action of the apothecary was not to resist that which he could neither prevent nor change, but to readjust himself to the new conditions.

Of course, by then, the rise of the industrial research lab within large-scale manufacturing enterprises was in full swing.

1.1.3 The rise of the industrial research lab within large-scale manufacturing, and today's manufacturing landscape

Like the small, privately owned manufacturing labs evolving to large-scale company-run manufacturing labs, so did the research processes of prior days. The individual tinkering with research in their private laboratory and making small batches of product gave way to a collective of individuals with more specialized talents cooperatively working in a large industrial manufacturing center towards a common, often complex research goal, i.e., within the industrial research laboratory.[28][29] Those larger manufacturing entities that didn't have an industrial research lab were beginning to assess the value of adding one, while smaller enterprises that didn't have the resources to support an extensive collection of manufacturing and research labs were increasingly joining forces "to maintain laboratories doing work for the whole industry."[28]

But what drove the advance of the industrial research lab? As the National Research Council pointed out in 1940, "individuals working independently could not, for very long, provide the technical and scientific knowledge essential to a rapidly developing industrial nation."[30] Newly emerging industries had a need for new knowledge to feed their growth, and they proved to be the early adopters of establishing separate research departments or divisions in their businesses, unlike businesses in long-established industries. The First World War was also responsible for driving organized research efforts in various industries to solve not only wartime problems but also plant the seed of development in peacetime industries. By 1920, two-thirds of all research workers surveyed by the National Research Council were employed in the emerging electrical, chemical, and rubber industries, though the overall adoption of industrial research approaches was still limited across all companies.[30]

In 1917, the previously mentioned Charles McDowell presented his view of American research and manufacturing methods of his time, referring to research as "diligent inquiry."[14] In his work, McDowell stated three types of research that leads up to the manufacturing process: pure scientific inquiry, industrial research, and factory research. He noted that of pure scientific inquiry, little thought is typically given to whether the research—often conducted by university professors—will have any real commercial value, though such value is able to emerge from this fundamental research. As for factory research, McDowell characterized it as full-scale factory-level operations that range from haphazard approaches to well-calculated contingency planning, all of which could make or break the manufacturing business.

In regards to the middle category of industrial research, McDowell made several observations that aptly described the state of manufacturing research in the early 1900s. He noted that unlike pure scientific inquiry, industrial research had commercial practicality as a goal, often beginning with small-scale experiments while later seeking how to reproduce those theoretical results into large-scale manufacturing. He also reiterated his point about needing to "have good backing" financially. "The larger manufacturer maintains his own staff and equipment to carry out investigations along any line that may seem desirable," he said, "but the smaller industries are not able to support an establishment and must rely on either consulting engineers or turn their problems over to some equipped public or private laboratory to solve."[14]

In his 1920 book The Organization of Industrial Scientific Research, Mees presented these three types of research somewhat similarly, though in the context of the industrial laboratory and its operations. Mees argued that industrial laboratories could be classified into three divisions[28]:

  • Laboratories "working on pure theory and the fundamental sciences associated with the industry," aligning in part with McDowell's "pure scientific inquiry";
  • Work laboratories "exerting analytical control over materials, processes and product," aligning slightly with McDowell's "factory research" but more akin to the modern quality control lab; and
  • Industrial laboratories "working on improvements in product and in processes," aligning with McDowell's "industrial research."

Mees argued in particular that those industrial research laboratories that simply improve products and processes were not doing enough; they should, necessarily, also direct some of their goals towards more fully understanding the fundamental and underlying theory of the topic of research.[28] In other words, Mees suggested that those labs simply working on theoretical and fundamental science research, as well as those labs conducting industrial research to improve products and processes, shouldn't necessarily function in separate vacuums. "Research work of this fundamental kind involves a laboratory very different from the usual works laboratory and also investigators of a different type from those employed in a purely industrial laboratory," he noted. Of course, this hybrid approach to fundamental and industrial research was largely reserved for the largest of manufacturers, and solutions were needed for smaller manufacturing endeavors. Here, like McDowell in 1917, Mees argued for smaller businesses with limited resources adopting both cooperative laboratory (those businesses that pool resources together for a fully supported research laboratory) and consulting laboratory (a third-party lab with the resources to fully study a problem, undertake investigations, model a manufacturing process, and implement that process into its client's factory, all for a fee) approaches.[28] With such solutions, the industrial research laboratory continued to take on a new level of complexity to address emerging industry needs, far from the humble origins of an early nineteenth-century manufacturing laboratory.

This growth or industrial research would continue onward from the twentieth century into the twenty-first century. In 1921, some 15 companies maintained research groups of more than 50 people; by 1938, there were 120 such businesses.[30] By the 1990s, "the share of funding for basic research provided by industry actually grew from 10 percent to 25 percent of the national total, even though basic research accounted for just 5-7 percent of total R&D expenditures by industry."[31] This trend of large research groups continues today, though with the recognition that smaller teams may still have advantages. In a 2019 article in the Harvard Business Review, Wang and Evans recognize "large teams as optimal engines for tomorrow’s largest advances," while smaller research teams are better poised to ask disruptive questions and make innovative discoveries.[32]


1.2 Laboratory roles and activities in the industry

Today, the "manufacturing laboratory" is a complex entity that goes beyond the general idea of a lab making or researching things. Many of the historical aspects discussed prior still hold today, but other aspects have changed. As indicated in the introduction, the world of manufacturing encompasses a wide swath of industries and sub-industries, each with their own nuances. Given the nuances of pharmaceutical manufacturing, food and beverage development, petrochemical extraction and use, and other industries, it's difficult to make broad statements about manufacturing laboratories in general. However, the rest of this guide will attempt to do just that, while at times pointing out a few of those nuances found in specific industries.

The biggest area of commonality is found, unsurprisingly, in the roles manufacturing-based labs play today, as well as the types of lab activities they're conducting within those roles. These roles prove to be important in the greater scheme of industry activities, in turn providing a number of benefits to society. As gleaned from prior discussion, as well as other sources, these laboratory roles can be broadly broken into three categories: research and development (R&D), pre-manufacturing and manufacturing, and post-production regulation and security. Additionally, each of these categories has its own types of laboratory activities.

The scientific disciplines that go into these laboratory roles and activities is as diverse as the manufacturing industries and sub-industries that make up the manufacturing world. For example, the food and beverage laboratory taps into disciplines such as biochemistry, biotechnology, chemical engineering, chemistry, fermentation science, materials science, microbiology, molecular gastronomy, and nutrition.[33][34][35][36] However, the paper and printing industry taps into disciplines such as biochemistry, biology, chemistry, environmental science, engineering, forestry, and physics.[37][38] By extension, the reader can imagine that these and other industries also have a wide variety of laboratory techniques associated with their R&D, manufacturing, and post-production activities.

The following subsections more closely examine the three roles manufacturing-based labs can play, as well as a few examples of lab-related activities found within those roles.

1.2.1 R&D roles and activities

The National Institute of Standards and Technology (NIST) and its Technology Partnerships Office offer a detailed definition of manufacturing-related R&D as an activity "aimed at increasing the competitive capability of manufacturing concerns," and that "encompasses improvements in existing methods or processes, or wholly new processes, machines or system."[39] They break this down into four different technology levels[39]:

  • Unit process-level technologies that create or improve manufacturing processes,
  • Machine-level technologies that create or improve manufacturing equipment,
  • Systems-level technologies for innovation in the manufacturing enterprise, and
  • Environment- or societal-level technologies that improve workforce abilities and manufacturing competitiveness.

Obviously, this definition applies to actual development of and innovation towards methods of improving and streamlining manufacturing processes. However, this same concept can, in part, can be applied to the actual products made in a manufacturing plant. Not only does product-based R&D focus on improving "existing methods and processes," but it also focuses on "manufacturing competitiveness" by developing new and innovating existing products that meet end users' needs. Laboratories play an manufacturing-based R&D laboratories play an important role in this regard.

The laboratory participating in this role is performing one or more tasks that relate to the development or improvement of a manufactured good. This often leads to a commercial formulation, process, or promising insight into a product. The R&D lab may appear outside the manufacturing facility proper, but not necessarily always. Some manufacturing companies may have an entire research complex dedicated to creating and improving some aspect of their products.[40] Other companies may take their R&D to a third-party consulting lab dedicated to conducting development and formulation activities for manufacturers.[41][42] Industrial research activities aren't confined to manufacturers, however. Some higher education institutions provide laboratory-based research and development opportunities to students engaging in work-study programs, often in partnership with some other commercial enterprise.[43]

The following types of lab-related activities may be associated with the R&D role:

Overall product development and innovation: Jain et al. noted in their book on managing R&D activities that in 2010, 60 percent of U.S. R&D was focused on product development, while 22 percent focused on applied research and 18 percent on basic research. However, they also argue that any R&D lab worth its weight should have a mix of these activities, while also including customer participation in the needs assessment and innovation activities that take place in product development and other research activities. Jain et al. define a manufacturer's innovation activities as "combining understanding and invention in the form of socially useful and affordable products and processes."[44] As the definition denotes, newly developed products ("offerings") and processes (usually which improve some level of efficiency and effectiveness) come out of innovation activities. Additionally, platforms that turn existing components or building blocks into a new derivative offering (e.g., a new model or "generation" of product), as well as "solutions that solve end-to-end customer problems," can be derived from innovation. Those activities can focus on more risky radical innovation to a new product or take a more cautious incremental approach to improvements on existing products.[45]

Reformulation: Reformulation involves the material substitution of one or more raw materials used in the production of a product to accomplish some stated goal. That goal may be anything from reducing the toxicity or volume of wastes generated[46][47][48] and improving the overall healthiness of the product[49][50], to transitioning from traditional holistic medicine approaches to more modern biomedical approaches.[51] Examples of products that have seen reformulation by manufacturers include:

  • Paints and other coatings[46],
  • Fuels such as gasoline[48],
  • Foods and beverages[49][50], and
  • Pharmaceuticals and cosmetics.[47][51]

In the end, reformulation is a means for improving impacts on the end user, the environment, or even the long-term budget of the manufacturer. The type of lab activities associated with reformulation largely varies by product; the laboratory methods used to reformulate gasoline may be quite different from those in a food and beverage lab. Reformulation can also be a complicated process, as found with pharmaceutical products. The reformulated product "must have the same therapeutic effect, stability, and purity profile" as the original, while maintaining pleasing aesthetic qualities to the end user. Adding to the problem is regulatory approval times of such pharmaceutical reformulations.[47]

Nondestructive testing and materials characterization: Raj et al. describe nondestructive testing (NDT) as "techniques that are based on the application of physical principles employed for the purpose of determining the characteristics of materials or components or systems and for detecting and assessing the inhomogeneities and harmful defects without impairing the usefulness of such materials or components or systems."[52] NDT has many applications, including with food, steel, petroleum, medical devices, transportation, and utilities manufacturing, as well as electronics manufacturing.[53][54][55] It also plays an important role in materials testing and characterization.[56] NDT and materials testing is often used as a quality control mechanism during manufacturing (see the next subsection), but it can also be used during the initial R&D process to determine if a prototype is functioning as intended or a material is satisfactory for a given application.[52]

Stability, cycle, and challenge testing: Multiple deteriorative catalysts can influence the shelf life of a manufactured product, from microbiological contaminants and chemical deterioration to storage conditions and the packaging itself. As such, there are multiple approaches to taming the effects of those catalysts, from introducing additives to improving the packaging.[57] However, stability, cycle, and challenge testing must be conducted on many products to determine what deleterious factors are in play. The analytical techniques applied in stability, cycle, and challenge testing will vary based on, to a large degree, the product matrix and its chemical composition.[57] Microbiological testing is sure to be involved, particularly in challenge testing, which simulates what could happen to a product if contaminated by a microorganism and placed in a representative storage condition.[58][59] Calorimetry, spectrophotometry, spectroscopy, and hyperspectral imaging may be used to properly assess color, particularly when gauging food quality.[57] Other test types that may be used include water content, texture, viscosity, dispersibility, glass transition, and gas chromatography.[57] In the end, the substrate being examined will be a major determiner of what kind of lab methods are used. The lab method chosen for stability, cycle, and challenge testing should optimally be one that errs on the side of caution and is appropriate to the test, even if it takes longer. As Chen notes: "A longer test cycle is less a concern for stability protocol as the study typically has a limited number of samples. Applying a less reliable method to the limited number of samples in a stability study can be problematic."[59]

Packaging analysis and extractable and leachable testing: Materials that contact pharmaceuticals, foods and beverages, cosmetics, and more receive special regulatory consideration in various parts of the world. This includes alloys, bioplastics, can coatings, glass, metals, regenerated cellulose materials, paper, paperboard, plastics, printing inks, rubber, textiles, waxes, and woods.[60] As such, meeting regulatory requirements and making inroads with packaging development can be a complicated process. Concerns of chemicals and elements that can be extracted or leach into sensitive products add another layer of complexity to developing and choosing packaging materials for many manufactured goods. This requires extractable and leachable testing at various phases of product development to ensure the packaging selected during formulation is safe and effective.[59][61] Extractable and leachable testing for packaging could involve a number of techniques ranging from gas and liquid chromatography to ion chromatography and inductively coupled plasma mass spectrometry.[62]

1.2.2 Pre-manufacturing and manufacturing roles and activities

The laboratory participating in these roles is performing one or more tasks that relate to the preparative (i.e., pre-manufacturing) or quality control (QC; i.e., manufacturing) activities of production. An example of preparative work is conducting allergen, calorie, and nutrition testing for a formulated food and beverage product. Calorie and nutrition testing—conducted in part as a means of meeting regulation-driven labeling requirements—lands firmly in the role of pre-manufacturing activity, most certainly after commercial formulation and packing requirements have been finalized but before the formal manufacturing process has begun.[63] Allergen testing works in a similar fashion, though the manufacturer ideally uses a full set of best practices for food allergen management and testing, from confirming allergens (and correct labeling) from ingredients ordered to performing final production line cleanup (e.g., when a new allergen-free commercial formulation is being made or an unintended contamination has occurred).[64] These types of pre-production analyses aren't uncommon to other types of manufacturing, discussed below.

As for in-process manufacturing QC, some QC and quality assurance (QA) methods may already be built into the manufacturing process in-line, not requiring a lab. For example, poka-yokes—mechanisms that inhibit, correct, or highlight errors as they occur, as close to the source as possible—may be built in-line to a manufacturing process to prevent a process from continuing should a detectable error occur, or until a certain condition has been reached.[65][66] However, despite the value of inline QC/QA, these activities also happen beyond the production line, in the laboratory (discussed further, below).

The following types of lab-related activities may be associated with the pre-manufacturing and manufacturing role:

Various pre-manufacturing analyses: Also known as pre-production, some level of laboratory activity takes place here. Like the previously mentioned food and beverage industry, the garment manufacturing industry will have its own laboratory-based pre-production activities, including testing various raw material samples for potential use and quality testing pre-production samples before deciding to go into full production.[67] In another example, a manufacturer intending to produce "a new chemical substance for a non-exempt commercial purpose" in the U.S. must submit a pre-manufacture notice to the Environmental Protection Agency (EPA), which must include "test data on the effect to human health or the environment."[68]

Quality control testing: While QC testing can appear in multiple manufacturing laboratory roles, it's most noticeable in the pre-manufacturing and manufacturing role. Manufacturers in many industries have set up formal testing laboratories to better ensure that their products conform to a determined set of accepted standards, whether those standards come from a standards-setting organization


NDT and materials testing, discussed in the prior subsection about R&D, can also occur during the various phases of manufacturing, as part of an overall quality control effort.[52]

1.2.3 Post-production regulation and security roles and activities

The laboratory participating in these roles is performing one or more tasks that relate to the post-production examination of products for regulatory, security, or accreditation purposes. Labs are often third parties accrediting a producer to a set of standards, ensuring regulatory compliance, conducting authenticity and adulteration testing, conducting security checks at borders, and applying contamination testing as part of an overall effort to track down contamination sources. In addition to ensuring a safer product, society also benefits from these and similar labs by better holding producers legally accountable for their production methods and obligations.

The following types of lab-related activities may be associated with the post-production regulation and security role:

Authenticity and adulteration testing:

Accreditation-led testing:

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