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    Laboratory-Developed Test

    IVD designed, manufactured, and used within a single CLIA laboratory.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026

    Definition

    LDTs are diagnostic tests developed and performed by a single high-complexity CLIA-certified laboratory rather than distributed as kits. FDA historically exercised enforcement discretion; a 2024 final rule began phasing in active oversight.

    What this means in practice

    Many oncology, infectious disease, and rare-disease tests reached patients as LDTs. The FDA LDT rule, ongoing litigation, and CMS PAMA repricing are key uncertainties.

    Cross-references

    Governed by

    Regulations or standards this term must comply with.

    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-05-09
    FDA·1AdvaMed·1MedTech Europe·1
    1. 1
      FDA LDT final rule
      Verified
      FDAfda.gov
    2. 2
      AdvaMed - Industry Reports
      Verified
      AdvaMedadvamed.org
    3. 3
      MedTech Europe - Facts & Figures
      Verified
      MedTech Europemedtecheurope.org

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