“…In US clinical laboratories, quality control practices are hugely divergent in addition to being costly (2 ). In a recent review, Kazmierczak stated, "the costs associated with performing quality control testing and the costs associated with evaluating, reviewing and maintaining quality control records are not trivial" (3 ). He cited a developing nation hospital study that found the costs of quality to be 22% of total direct laboratory expenses, with 89% of the costs for maintaining quality associated with calibration and analysis of quality control material necessary to confirm the accuracy and reliability of test results (4 ).…”