Integrated Assessment ServicesCertification and auditor training, USA

ISO 15189 Internal Auditor Training in USA

ISO 15189:2022 Medical Laboratory Quality and Competence Internal Auditor Course — Laboratory Process Auditing, Patient Risk and Technical Competence

Develop practical skills to plan, conduct, report and follow up internal audits of medical laboratory management systems and technical processes. Learn to evaluate specimen management, examination methods, personnel competence, quality control, reporting, laboratory information management and risk-based audit evidence.

Important: this course teaches internal auditing. It does not give laboratory accreditation, CLIA certification or accreditation-body assessor status, and its recognition and certificate issuer are still being confirmed. All exercises use fictional data.

Current standard

Learn the current medical laboratory quality and competence standard

ISO 15189:2022 (fourth edition, published December 2022) is current. It covers both quality management and technical competence, uses Clauses 4–8 rather than the ISO 9001 structure, and includes point-of-care testing in normative Annex A. Internal audits are Clause 8.8.3.

Standards status
DocumentStatusWhat it means for internal auditors
ISO 15189:2022 (fourth edition)Current; published December 2022Quality and competence requirements for medical laboratories, Clauses 4–8, with point-of-care testing in normative Annex A
ISO 15189:2012 (third edition)Replaced by the 2022 editionNot used as audit criteria; accreditation bodies set their own transition arrangements
ISO 22870:2016 (POCT)Withdrawn December 2022Point-of-care testing requirements now sit in ISO 15189:2022 Annex A
ISO 19011:2026CurrentGuidance for auditing management systems
ISO 15189:2026Does not existNo new edition has been published

ISO: ISO 15189:2022 (opens in a new tab) · ISO: ISO 19011 (opens in a new tab)

Accreditation vs certification

Understanding ISO 15189 medical laboratory accreditation

Laboratories are accredited to ISO 15189 by recognized accreditation bodies for a defined scope. That is different from management system certification, from this training, and from US CLIA certification. IAS does not accredit medical laboratories.

Four different things
ItemWhat it isWho decidesRelation to this course
ISO 15189 laboratory accreditationRecognition by an accreditation body that a laboratory is competent for a defined scope of examinationsAccreditation body assessorsNot given by this course or by IAS
ISO 15189 internal auditor trainingEducation in planning, conducting and reporting internal laboratory auditsTraining provider (EAS, as advertised)This course
Internal auditor competenceThe laboratory’s own evaluation of knowledge, technical skills, audit skills and authorization (8.8.3)The laboratoryTraining supports it; does not establish it
CLIA certificationUS federal regulatory certification for laboratories testing human specimensCMS, with state survey agenciesA separate framework; not given by this course

Course recognition

Understanding ISO 15189 internal auditor training recognition

The IAS accreditation page lists ISO 15189 Lead Auditor as EAS certified, but does not list ISO 15189 among its EAS-certified internal auditor courses. We confirm this course’s recognition, issuer and certificate wording before you enrol.

Recognition
ItemIAS listingOther sourceStatus
This course (Internal Auditor)Not in the EAS-certified internal auditor list on the IAS accreditation pageLive course page names no issuer; calls it a “recognized certificate”Confirm recognition, issuer and wording
ISO 15189 Lead Auditor (separate)“EAS certified” on the IAS accreditation pageNot in the CQI-IRCA table; no PR codeNot used for this course
CQI-IRCANo claimNo ISO 15189 course appears in EAS’s CQI-IRCA listNot claimed
Live page wording“Qualifies you to audit the ISO 15189 quality management system within your own medical laboratory”8.8.3: the laboratory trains, qualifies and authorizes its auditorsReplace with competence wording

Who should attend

Who should attend?

Choose a role to see relevance, recommended knowledge and next steps.

Prerequisites

Is ISO 15189 internal auditor training suitable for you?

IAS says basic ISO 15189 and quality management knowledge is helpful; no entry requirements are published. Nothing you enter here is stored or sent.

Two-day syllabus

Explore the two-day ISO 15189 internal auditor training program

A proposed expanded syllabus for the advertised two-day, 16-hour course, to be reconciled with the EAS course documentation.

Topics on the current IAS course page
  1. Understanding ISO 15189 requirements from an auditor’s perspective
  2. Roles and responsibilities of auditors
  3. Planning and preparing for internal audits
  4. Conducting effective internal audits
  5. Nonconformity identification and reporting

IAS: course brochure (PDF) (opens in a new tab)

Requirements explorer

Understand ISO 15189 requirements from an internal auditor’s perspective

Clauses 4–8 of ISO 15189:2022 in our own words. Annex A (normative) sets additional requirements for point-of-care testing. Not the standard’s text.

Testing pathway

Audit the complete medical laboratory testing pathway

Nine stages from request to report with fictional records. No real patient data; no acceptance or release decisions.

Patient risk

How patient risk influences laboratory internal auditing

8.8.3 expects the audit program to consider risk to patients, previous audits, incidents, complaints and changes. Rate each fictional situation. This is a learning exercise, not a formal risk assessment or clinical decision tool.

Fictional situations
SituationWhat happenedAudit priority
Specimen identification errors6 mislabelled samples in 3 months at one collection site
Delayed critical results2 notifications beyond the lab’s defined time
Analyzer downtimeChemistry analyzer down 4 hours; backup used
QC exceptions3 QC rejections on one assay, all investigated and closed
Previous finding closedDocument control finding closed with effective evidence
Stationery supplier changeNew label printer paper; no performance change

Personnel competence

Auditing personnel competence and authorization

Fictional records for a hematology section. Training alone does not prove competence, and this exercise approves no real staff.

Fictional competence records
RecordWhat it showsYour view
Training matrixScientist A trained on hematology analyzer, 2025.
Competence assessmentLast assessment 2023; lab procedure requires yearly.
AuthorizationAuthorized to release hematology results; signed by the director.
SupervisionTrainee B released results without supervision record.
QualificationDegree certificate on file.
Continuing educationNo record for two years.

Verification and validation

Learn to audit examination method evidence

A fictional new chemistry analyzer. Verification and validation are different, and which applies depends on the method and its intended use. No acceptance limits are prescribed and no method is approved here.

Fictional method records
RecordWhat it showsYour view
Method choiceManufacturer’s method used unmodified for intended use.
Verification planPlan lists precision, trueness and reportable range; criteria from the lab’s procedure.
Precision resultsResults recorded; one level outside the lab’s criterion; signed off anyway.
Modified methodSample volume halved from manufacturer instructions; no validation.
Reference intervalsManufacturer intervals adopted; no review of applicability.
Authorization for useTechnical manager approved go-live after review.

IQC and EQA

Internal quality control and external quality assessment from an auditor’s perspective

Twenty fictional control results on a Levey-Jennings chart (target 100.0, SD 1.6). Switch between two example rule sets: the laboratory chooses rules for each assay, and no single rule fits every assay. No patient results are released here.

Control results with mean and ±1, 2, 3 SD lines. Fictional data.

Fictional EQA records

Fictional EQA records
RecordWhat it showsYour view
ParticipationEnrolled for all scheduled rounds.
Round 3 resultUnacceptable for potassium; investigation not recorded.
ReviewResults reviewed by the technical manager within two weeks.
Alternative assessmentNo EQA scheme for a rare test; no alternative approach recorded.
Corrective actionCalibration corrected after round 2; next round acceptable.

Traceability and measurement uncertainty

How auditors evaluate measurement reliability

Fictional examples. Requirements vary by method; no uncertainty acceptance criteria are given.

Equipment

Auditing medical laboratory equipment management

Fictional equipment records. No troubleshooting advice for real testing.

Fictional equipment records
EquipmentWhat the record showsYour view
Chemistry analyzerService visit overdue by 2 months.
Hematology analyzerAcceptance testing recorded before use.
CentrifugeSpeed check recorded annually.
Reagent refrigeratorTemperature log gap over a weekend.
Temperature monitoring systemAlarm tested; no record of response test.
Equipment failureFailed analyzer labelled out of service; impact on results reviewed.

Specimen traceability

Practice auditing laboratory specimen traceability

A fictional specimen journey for “Patient Seven” (ID P-0007). Never enter real patient names, record numbers, diagnoses or results.

Critical results

How auditors evaluate result review and reporting controls

A fictional delay in communicating a critical result. No clinical thresholds or treatment decisions are given.

Point-of-care testing

Understanding POCT requirements under ISO 15189:2022

Annex A (normative) covers POCT. ISO 22870:2016 was withdrawn in December 2022. A fictional bedside glucose program; no results are approved.

Information management

How internal auditors evaluate laboratory information systems

A fictional new LIS. This course is not cybersecurity or penetration testing training. Never share real credentials or patient data.

Fictional LIS records
RecordWhat it showsYour view
ValidationLIS validated before go-live; test scripts and sign-off on file.
Access authorizationTwo leavers still have active accounts.
Data transfer checksAnalyzer-to-LIS transfer checked for 20 results per assay.
Audit trailAmended results show user, time and reason.
Backup and continuityBackup tested; no downtime procedure test recorded.

CLIA vs ISO 15189

Understanding US clinical laboratory regulation and international accreditation

ISO 15189 accreditation does not replace CLIA certification, and CLIA compliance is not ISO 15189 accreditation. CAP says laboratories seeking CAP 15189 must first hold CAP Laboratory Accreditation Program accreditation.

CLIA, ISO 15189 and CAP 15189
CLIAISO 15189CAP 15189
PurposeFederal quality standards for US laboratory testing on human specimensInternational requirements for quality and competence of medical laboratoriesCAP’s ISO 15189:2022 accreditation program
StatusLaw and regulation (applies where in scope)Voluntary standardVoluntary accreditation; requires CAP Laboratory Accreditation Program accreditation first
Administered byCMS, with state survey agenciesISO publishes; accreditation bodies assessCollege of American Pathologists
OutcomeCLIA certificateAccreditation by an accreditation body for a defined scopeCAP 15189 accreditation
Replaces CLIA?—NoNo
Internal auditsNot the same as ISO 15189 internal auditsRequired by 8.8.3Assessed as part of ISO 15189

CMS: CLIA (opens in a new tab) · CAP: CAP 15189 accreditation (opens in a new tab) · CDC: laboratory quality (opens in a new tab) · FDA (opens in a new tab)

Laboratory and quality standards

ISO 15189 vs ISO/IEC 17025 vs ISO 9001

ISO 9001 certification is not medical laboratory competence accreditation, and ISO/IEC 17025 auditor training does not cover every ISO 15189 requirement.

Standards compared
ISO 15189ISO/IEC 17025ISO 9001
OrganizationsMedical laboratoriesTesting and calibration laboratoriesAny organization
FocusQuality and competence, patient careCompetence and impartiality of resultsQuality management system
Technical competenceYesYesNo
PatientsExplicit requirementsNoNo
Usual recognitionAccreditationAccreditationCertification
Internal audit clause8.8.38.89.2

ISO/IEC 17025 Internal Auditor training · ISO 9001 Internal Auditor training

Audit program builder

Plan an effective medical laboratory internal audit program (8.8.3)

No single frequency applies to every laboratory. Rate patient risk and recent signals for each fictional area; this is a learning sample, not an approved program.

Audit areas
AreaPatient riskIncidents, complaints or changesPrevious or external findings

Auditor competence and independence

Who can conduct ISO 15189 internal audits?

Auditors must be trained, qualified and authorized, and independent of the activity audited wherever resources permit. They do not have to come from outside the laboratory. Judge each fictional assignment.

Audit assignments
AssignmentYour view
The quality manager audits document control, which they run
A chemistry scientist audits hematology
The technical manager audits verification they approved
The POCT coordinator audits ward POCT they manage
The director audits the whole laboratory alone
An untrained scientist audits method verification

Checklist builder

Create medical laboratory internal audit questions

Educational examples only. A checklist alone does not show accreditation readiness.

Interview simulator

Practice interviewing medical laboratory personnel

Choose a fictional role and the questions you would ask. No patient information or credentials.

Which questions would you ask?

Mock laboratory audit

Practice conducting a complete medical laboratory internal audit

A fictional US diagnostic laboratory with nineteen audit areas. Not an EAS examination, an accreditation decision or a clinical decision.

4. Which interview questions would you ask?
6. Which missing information would you request?
5. Your evaluation

Findings laboratory

Write evidence-based medical laboratory audit findings

Ten fictional cases. Never invent evidence, and do not label every observation a major nonconformity.

Corrective action

How to evaluate laboratory nonconformities and corrective actions

A fictional laboratory with repeated specimen labelling errors. No patient management decisions are made.

Correction, corrective action or effectiveness check?

Classify actions
ActionYour view
Rejecting and recollecting the samples
Introducing bedside printing
Tracking errors for three months
Informing the requester
Updating the collection procedure

Quality indicators

How internal auditors review laboratory quality indicators

Eight months of fictional indicators (8.8.2). The laboratory sets its own targets; none are shown, and this is not live analytics or IAS client data.

Fictional monthly values.

Strong versus weak audit evidence

Strong versus weak evidence
AreaStrong evidenceWeak evidence
CompetenceAssessment records at the defined interval with authorization.A training certificate only.
Method verificationPlan, criteria, results and approval.“Verified” with no data.
IQCQC reviews with actions on failures.QC run but never reviewed.
Critical resultsCall logs with time and read-back.Staff say they always phone.
LIS accessPeriodic access reviews.A password policy only.

Auditor pathways

Choose the appropriate medical laboratory auditing pathway

A two-day course does not authorize accreditation assessments. Accreditation bodies select and authorize their own technical assessors.

Pathways compared
ISO 15189 Internal AuditorISO 15189 Lead AuditorAccreditation-body technical assessor
DurationTwo days / 16 hoursSeparate five-day course (IAS lists sessions)No course; set by the accreditation body
Audit typeFirst-party, inside your laboratoryBroader audit methodology and team leadershipAccreditation assessments
RecognitionTo confirm; not listed on the IAS accreditation pageEAS certified (IAS accreditation page); no CQI-IRCA PR codeAuthorization by the accreditation body
Gives authority to accredit?NoNoOnly within the accreditation body’s program

ISO 15189 Lead Auditor training · ISO 15189 information

Laboratory types

US medical laboratory applications

Requirements and regulatory categories differ by laboratory; choose a type.

Delivery formats

Choose your ISO 15189 internal auditor training format

IAS advertises four formats. Assessment and certificate may differ by format; we confirm before you enrol.

Training dates

Upcoming ISO 15189 internal auditor training dates in USA

The IAS schedule lists one ISO 15189:2022 Internal Auditor virtual session, 9:00–18:00 with no time zone. The November and December ISO 15189 sessions are the separate Lead Auditor course.

Sessions
CourseEditionProviderStartEndTime zoneFormatDurationFeeStatusEnquire

Request Upcoming ISO 15189 Internal Auditor Training Dates

Full training schedule

Assessment and certificate

What certificate will you receive?

The live page lists quizzes and promises a “recognized certificate” but names no issuer, examination, pass mark, resit rule or validity. We confirm each before you enrol. A course certificate is not laboratory accreditation, CLIA certification, professional licensure or accreditation-body assessor authorization, and ISO does not issue it.
EAS: training certificate search (opens in a new tab)

Issuing organization
To confirm.
Assessment
Quizzes listed; final assessment to confirm.
Attendance
To confirm.
Passing criteria
Not published.
Certificate type
To confirm per format.
Verification and resits
To confirm.

Fees and corporate training

ISO 15189 internal auditor training fees in USA

Quoted in USD once approved. No fees or discounts are published. Corporate programs suit hospitals, independent laboratories, laboratory networks, diagnostic centers, quality teams and POCT programs.

Classroom
Request course fee
Live virtual
Request course fee
Self-paced
Request fee
In-house
Request a group quotation
Confirmed with your quotation
Materials, standard copy licensing, assessment, certificate, taxes, payment terms and refund policy

Request Course Fees Request a group quotation

Registration

Register for ISO 15189 internal auditor training

Send a registration or information request. A coordinator confirms dates, fees, certificate and availability. You are registered only after written confirmation. Do not include patient information.

  1. 1Request type
  2. 2Participant
  3. 3Course edition
  4. 4Delivery and date
  5. 5Experience
  6. 6Corporate details
  7. 7Review
A. Enquiry type
Request type

Enrollment journey

From enquiry to internal laboratory audits

An enquiry does not reserve a seat.

  1. 1

    Understand ISO 15189

  2. 2

    Understand laboratory quality and competence

  3. 3

    Review course recognition

  4. 4

    Explore the two-day syllabus

  5. 5

    Learn Clauses 4–8

  6. 6

    Practice laboratory audit exercises

  7. 7

    Compare training formats

  8. 8

    Select confirmed dates

  9. 9

    Review fees

  10. 10

    Submit registration

  11. 11

    Receive confirmation

  12. 12

    Attend training

  13. 13

    Complete the assessment

  14. 14

    Receive the applicable certificate

  15. 15

    Apply skills to internal laboratory audits

Tutors and responsibilities

Learn from experienced medical laboratory quality and auditing professionals

Tutor profiles will appear once verified. IAS’s certification-body accreditation is not laboratory accreditation and is not approval of this course.

Who does what
ResponsibilityOrganizationStatus
Markets the courseIASConfirmed
Delivers trainingEAS (technical partner)As advertised
Conducts assessmentsTo confirmConfirm
Issues certificatesNot namedConfirm
Provides online learningEAS portalConfirm
Collects feesIAS or EASConfirm
Handles complaintsIAS and EASConfirm
Manages resitsTo confirmConfirm
Maintains recordsTo confirmConfirm

FAQ

ISO 15189 internal auditor training questions

84 answers. Course rules are confirmed when you enrol.

What is ISO 15189 Internal Auditor Training?

A two-day course that teaches you to plan, conduct, report and follow up internal audits of a medical laboratory’s management system and technical processes.

What is ISO 15189:2022?

The international standard setting requirements for quality and competence in medical laboratories.

Is ISO 15189:2022 current?

Yes. It is the fourth edition, published in December 2022.

Is ISO 15189:2026 published?

No.

What changed from ISO 15189:2012?

The 2022 edition was restructured into Clauses 4–8, puts more weight on risk to patients, and brings point-of-care testing into Annex A.

What is ISO 19011:2026?

The current guidelines for auditing management systems.

What is medical laboratory accreditation?

Recognition by an accreditation body that a laboratory is competent for a defined scope of examinations.

Is ISO 15189 accreditation or certification?

Laboratories are normally accredited to ISO 15189 by an accreditation body. It is not an ordinary management system certification.

Can ISO 15189 accreditation replace CLIA?

No. CLIA is a separate US regulatory requirement.

What is CAP 15189?

The College of American Pathologists’ program that accredits laboratories to ISO 15189:2022. CAP says laboratories must first be accredited under its Laboratory Accreditation Program.

Who should attend?

Laboratory quality managers, directors, supervisors, scientists, QA officers, technical managers, internal auditors, POCT and accreditation coordinators.

What are the prerequisites?

None are mandatory. IAS says basic ISO 15189 and quality management knowledge is helpful.

Is the course suitable for beginners?

Yes, though an awareness course first can help newcomers.

Is laboratory experience required?

Not required, but it helps you audit technical processes.

Is previous auditing experience required?

No.

How long is the course?

Two days.

Is it two days?

Yes, as advertised by IAS.

Is it 16 hours?

Yes, as advertised by IAS.

What does Day 1 cover?

ISO 15189 requirements, technical processes and audit planning.

What does Day 2 cover?

Conducting audits, laboratory process auditing, findings and corrective action.

What are Clauses 4–8?

4 general, 5 structural and governance, 6 resources, 7 processes and 8 management system requirements.

What is Clause 8.8.3?

The internal audit requirement of ISO 15189:2022.

What is risk-based internal auditing?

Planning audits so that higher-risk activities, especially those affecting patients, get more attention.

How should patient risk influence audit priorities?

Activities with greater potential for patient harm, incidents, complaints or changes are audited sooner or more often.

What is personnel competence?

Having the education, training, skills and experience to perform assigned work, assessed and authorized by the laboratory.

How is laboratory competence evaluated?

Internally by the laboratory for its staff; externally by accreditation bodies for the laboratory.

What is method verification?

Confirming that a validated method performs as claimed in your laboratory.

What is method validation?

Establishing that a method is fit for its intended use, needed for example for laboratory-developed or modified methods.

What is internal quality control?

Running control materials to monitor the validity of examination results.

What is EQA?

External quality assessment: comparing your results with others through an external scheme.

What is proficiency testing?

A form of EQA in which a provider sends samples and evaluates laboratories’ results.

What is metrological traceability?

Linking a result to a reference through an unbroken chain of calibrations.

What is measurement uncertainty?

A parameter describing the spread of values reasonably attributable to a measured quantity.

What are pre-examination activities?

Requests, patient preparation, collection, identification, transport and receipt.

What are examination activities?

Performing the examination, with verified or validated methods and quality control.

What are post-examination activities?

Result review, authorization, reporting, critical result communication and retention.

What is specimen traceability?

Being able to trace a sample from the patient and request to the report.

How are critical results managed?

Under the laboratory’s procedure, which defines communication, timing and records. This page sets no thresholds.

What is POCT?

Point-of-care testing performed near the patient, often outside the laboratory.

Does ISO 15189:2022 include POCT?

Yes, in normative Annex A.

Is ISO 22870 still separately current?

No. ISO 22870:2016 was withdrawn in December 2022.

How does ISO 15189 address patient confidentiality?

Clause 4.2 requires patient information to be protected.

What is a Laboratory Information System audit?

An audit of validation, access, data transfer, audit trails, backup and confidentiality.

What is objective evidence?

Verifiable records, observations or statements supporting audit conclusions.

How do internal auditors plan audits?

By setting objectives, scope and criteria, prioritizing by risk and selecting competent, independent auditors.

How are audit checklists prepared?

From the requirements, the laboratory’s procedures and the risks of the area audited.

How often must internal audits occur?

At planned intervals set by the laboratory, considering risk. No single frequency applies to every laboratory.

Must auditors be independent?

ISO 15189:2022 expects auditors to be independent of the activity audited wherever resources permit.

What does auditor competence mean?

Being trained, qualified and authorized by the laboratory to audit.

Does the course include a mock audit?

The IAS page lists audit scenario exercises; this page adds a fictional mock audit.

What is a nonconformity?

Failure to meet a requirement.

How are findings reported?

With the requirement, the objective evidence and a clear statement, in the audit report.

What is corrective action?

Action to remove the cause of a nonconformity and prevent recurrence.

What is effectiveness verification?

Checking that corrective action worked.

What is management review?

Top management’s review of the management system using defined inputs, including audits and indicators.

Is the course EAS certified?

Not confirmed. The IAS accreditation page lists ISO 15189 Lead Auditor as EAS certified but does not list this Internal Auditor course.

Is the Internal Auditor course CQI-IRCA approved?

No CQI-IRCA approval is claimed.

What is the difference between Internal and Lead Auditor Training?

Internal auditor training is two days for first-party audits. Lead Auditor is a separate five-day course on audit leadership.

Does the course qualify me as a laboratory technical assessor?

No. Accreditation bodies authorize their own assessors.

Does the course authorize CLIA inspections?

No.

Who delivers the training?

EAS, IAS’s technical partner, as advertised.

Who issues the certificate?

Not named yet; we confirm before you enrol.

Does ISO issue course certificates?

No.

Can the certificate be verified?

EAS offers a certificate search; we confirm it covers this course.

Does the certificate expire?

Confirmed with the certificate wording.

Does course completion establish complete technical competence?

No.

Is classroom training available?

Advertised by IAS; no public venue is published.

Is virtual training available?

Yes. The IAS schedule lists December 26–27, 2026.

Is in-house training available?

Yes, as advertised.

Is self-paced learning available?

IAS advertises 30-day online self-learning.

Is 30-day access included?

For self-learning, as advertised. It is access to materials, not live instruction.

Are all formats assessed identically?

Not confirmed.

Is there an examination?

IAS lists quizzes; the final assessment rules are to be confirmed.

What is the passing score?

Not published.

Can I retake the examination?

Not published; we confirm.

What are the upcoming USA training dates?

A virtual session on December 26–27, 2026 is listed. Confirm before registering.

What time zone applies?

The schedule lists 9:00–18:00 without a time zone. We confirm it.

How much does the course cost?

Request a fee. No price is published.

Is corporate training available?

Yes.

Can international delegates attend?

Usually for virtual sessions; confirm the time zone.

Is group pricing available?

None is published; request a group quotation.

What is the cancellation policy?

See the refund policy and your quotation.

How do I register?

Use the registration form. A coordinator confirms dates, fees and availability.

What happens after registration?

You receive confirmation and joining instructions once your place is confirmed in writing.