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Nevertheless, many laboratories do not provide Western Blot due to limited resources and, as a result, refer the confirmatory test to a lab that possesses it. The proposed legislation would permit CMS to impose intermediate sanctions prior to revoking a laboratory’s CLIA certificate in cases where a proficiency screening sample was described another laboratory for confirmatory testing or because the laboratory does not really offer a specific test. ‘As a result of this important statutory transformation, laboratories will no longer be unfairly punished when they follow the most common practice and refer a specimen to some other laboratory,’ stated Alan Mertz, President of ACLA.