“…laboratories, presumably with greater resources than the smaller laboratories, may have up-to-date technology, better quality control, and a higher degree of specialization, and may provide more training opportunities for their laboratory personnel. Some characteristics of small or low-volume laboratories have been addressed by others (5,7,8). Since the error rates reported were averages, it is not implied that all of the laboratories that tested small numbers of patient specimens produced results of poor quality; nor is it implied that small laboratories are not capable of producing results of good quality.…”