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.
| Document | Status | What it means for internal auditors |
|---|---|---|
| ISO 15189:2022 (fourth edition) | Current; published December 2022 | Quality 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 edition | Not used as audit criteria; accreditation bodies set their own transition arrangements |
| ISO 22870:2016 (POCT) | Withdrawn December 2022 | Point-of-care testing requirements now sit in ISO 15189:2022 Annex A |
| ISO 19011:2026 | Current | Guidance for auditing management systems |
| ISO 15189:2026 | Does not exist | No 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.
| Item | What it is | Who decides | Relation to this course |
|---|---|---|---|
| ISO 15189 laboratory accreditation | Recognition by an accreditation body that a laboratory is competent for a defined scope of examinations | Accreditation body assessors | Not given by this course or by IAS |
| ISO 15189 internal auditor training | Education in planning, conducting and reporting internal laboratory audits | Training provider (EAS, as advertised) | This course |
| Internal auditor competence | The laboratory’s own evaluation of knowledge, technical skills, audit skills and authorization (8.8.3) | The laboratory | Training supports it; does not establish it |
| CLIA certification | US federal regulatory certification for laboratories testing human specimens | CMS, with state survey agencies | A 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.
| Item | IAS listing | Other source | Status |
|---|---|---|---|
| This course (Internal Auditor) | Not in the EAS-certified internal auditor list on the IAS accreditation page | Live 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 page | Not in the CQI-IRCA table; no PR code | Not used for this course |
| CQI-IRCA | No claim | No ISO 15189 course appears in EAS’s CQI-IRCA list | Not 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 auditors | Replace 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
- Understanding ISO 15189 requirements from an auditor’s perspective
- Roles and responsibilities of auditors
- Planning and preparing for internal audits
- Conducting effective internal audits
- Nonconformity identification and reporting
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.
| Situation | What happened | Audit priority |
|---|---|---|
| Specimen identification errors | 6 mislabelled samples in 3 months at one collection site | |
| Delayed critical results | 2 notifications beyond the lab’s defined time | |
| Analyzer downtime | Chemistry analyzer down 4 hours; backup used | |
| QC exceptions | 3 QC rejections on one assay, all investigated and closed | |
| Previous finding closed | Document control finding closed with effective evidence | |
| Stationery supplier change | New 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.
| Record | What it shows | Your view |
|---|---|---|
| Training matrix | Scientist A trained on hematology analyzer, 2025. | |
| Competence assessment | Last assessment 2023; lab procedure requires yearly. | |
| Authorization | Authorized to release hematology results; signed by the director. | |
| Supervision | Trainee B released results without supervision record. | |
| Qualification | Degree certificate on file. | |
| Continuing education | No 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.
| Record | What it shows | Your view |
|---|---|---|
| Method choice | Manufacturer’s method used unmodified for intended use. | |
| Verification plan | Plan lists precision, trueness and reportable range; criteria from the lab’s procedure. | |
| Precision results | Results recorded; one level outside the lab’s criterion; signed off anyway. | |
| Modified method | Sample volume halved from manufacturer instructions; no validation. | |
| Reference intervals | Manufacturer intervals adopted; no review of applicability. | |
| Authorization for use | Technical 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.
Fictional EQA records
| Record | What it shows | Your view |
|---|---|---|
| Participation | Enrolled for all scheduled rounds. | |
| Round 3 result | Unacceptable for potassium; investigation not recorded. | |
| Review | Results reviewed by the technical manager within two weeks. | |
| Alternative assessment | No EQA scheme for a rare test; no alternative approach recorded. | |
| Corrective action | Calibration 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.
| Equipment | What the record shows | Your view |
|---|---|---|
| Chemistry analyzer | Service visit overdue by 2 months. | |
| Hematology analyzer | Acceptance testing recorded before use. | |
| Centrifuge | Speed check recorded annually. | |
| Reagent refrigerator | Temperature log gap over a weekend. | |
| Temperature monitoring system | Alarm tested; no record of response test. | |
| Equipment failure | Failed 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.
| Record | What it shows | Your view |
|---|---|---|
| Validation | LIS validated before go-live; test scripts and sign-off on file. | |
| Access authorization | Two leavers still have active accounts. | |
| Data transfer checks | Analyzer-to-LIS transfer checked for 20 results per assay. | |
| Audit trail | Amended results show user, time and reason. | |
| Backup and continuity | Backup 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 | CAP 15189 | |
|---|---|---|---|
| Purpose | Federal quality standards for US laboratory testing on human specimens | International requirements for quality and competence of medical laboratories | CAP’s ISO 15189:2022 accreditation program |
| Status | Law and regulation (applies where in scope) | Voluntary standard | Voluntary accreditation; requires CAP Laboratory Accreditation Program accreditation first |
| Administered by | CMS, with state survey agencies | ISO publishes; accreditation bodies assess | College of American Pathologists |
| Outcome | CLIA certificate | Accreditation by an accreditation body for a defined scope | CAP 15189 accreditation |
| Replaces CLIA? | — | No | No |
| Internal audits | Not the same as ISO 15189 internal audits | Required by 8.8.3 | Assessed 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.
| ISO 15189 | ISO/IEC 17025 | ISO 9001 | |
|---|---|---|---|
| Organizations | Medical laboratories | Testing and calibration laboratories | Any organization |
| Focus | Quality and competence, patient care | Competence and impartiality of results | Quality management system |
| Technical competence | Yes | Yes | No |
| Patients | Explicit requirements | No | No |
| Usual recognition | Accreditation | Accreditation | Certification |
| Internal audit clause | 8.8.3 | 8.8 | 9.2 |
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.
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.
| Assignment | Your 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.
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.
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?
| Action | Your 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.
Strong versus weak audit evidence
| Area | Strong evidence | Weak evidence |
|---|---|---|
| Competence | Assessment records at the defined interval with authorization. | A training certificate only. |
| Method verification | Plan, criteria, results and approval. | “Verified” with no data. |
| IQC | QC reviews with actions on failures. | QC run but never reviewed. |
| Critical results | Call logs with time and read-back. | Staff say they always phone. |
| LIS access | Periodic 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.
| ISO 15189 Internal Auditor | ISO 15189 Lead Auditor | Accreditation-body technical assessor | |
|---|---|---|---|
| Duration | Two days / 16 hours | Separate five-day course (IAS lists sessions) | No course; set by the accreditation body |
| Audit type | First-party, inside your laboratory | Broader audit methodology and team leadership | Accreditation assessments |
| Recognition | To confirm; not listed on the IAS accreditation page | EAS certified (IAS accreditation page); no CQI-IRCA PR code | Authorization by the accreditation body |
| Gives authority to accredit? | No | No | Only within the accreditation body’s program |
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.
| Course | Edition | Provider | Start | End | Time zone | Format | Duration | Fee | Status | Enquire |
|---|
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
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.
Enrollment journey
From enquiry to internal laboratory audits
An enquiry does not reserve a seat.
- 1
Understand ISO 15189
- 2
Understand laboratory quality and competence
- 3
Review course recognition
- 4
Explore the two-day syllabus
- 5
Learn Clauses 4–8
- 6
Practice laboratory audit exercises
- 7
Compare training formats
- 8
Select confirmed dates
- 9
Review fees
- 10
Submit registration
- 11
Receive confirmation
- 12
Attend training
- 13
Complete the assessment
- 14
Receive the applicable certificate
- 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.
| Responsibility | Organization | Status |
|---|---|---|
| Markets the course | IAS | Confirmed |
| Delivers training | EAS (technical partner) | As advertised |
| Conducts assessments | To confirm | Confirm |
| Issues certificates | Not named | Confirm |
| Provides online learning | EAS portal | Confirm |
| Collects fees | IAS or EAS | Confirm |
| Handles complaints | IAS and EAS | Confirm |
| Manages resits | To confirm | Confirm |
| Maintains records | To confirm | Confirm |
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.
Related courses
Training and laboratory resources.