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Molecular Diagnostics in the Hospital Laboratory

Molecular diagnostics is integral to modern hospital laboratories, supporting clinical decision-making across oncology, infectious disease, inherited disease and pharmacogenomics. As molecular testing programmes expand and more assays are brought in-house, laboratories must demonstrate analytical performance, maintain robust quality control and meet CAP and CLIA requirements. LGC Clinical Diagnostics supports molecular laboratories with quality controls, reference materials, proficiency testing solutions and scientific expertise that help strengthen confidence in testing throughout the assay lifecycle.

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Challenges facing molecular laboratories

Hospital and clinical molecular laboratories must balance expanding test menus, evolving technologies and increasing quality requirements while maintaining confidence in patient results.

Assay validation

Demonstrating analytical sensitivity, analytical specificity, accuracy, precision and limit of detection (LoD) for molecular assays and laboratory-developed tests.

Performance monitoring

Identifying reagent lot variability, contamination events, extraction issues and shifts in assay sensitivity before they affect patient reporting.

CAP and CLIA compliance

Maintaining quality systems, documentation and evidence of ongoing assay reliability to support accreditation and inspection requirements.

Complex testing workflows

Managing quality across qPCR, digital PCR, NGS panels, liquid biopsy and other molecular testing technologies.

Lot-to-lot consistency

Verifying that changes to reagents, consumables and workflow components do not introduce unexpected analytical variation.

Expanding test menus

Bringing new assays in-house while balancing turnaround time expectations, validation requirements and quality objectives.

How LGC supports molecular laboratories

Supporting molecular laboratories with assay validation, quality control, proficiency testing and accreditation readiness activities.

Who we support

Molecular laboratory directors, technical supervisors, molecular pathologists, quality managers and senior technologists responsible for assay validation, quality control, external quality assessment and accreditation readiness.

How we help

We provide independent quality controls, clinical genomics reference materials, proficiency testing solutions and informatics tools that support assay validation, verification, quality monitoring and regulatory compliance.

Related applications

Supporting laboratory quality assurance and performance monitoring.

Support analytical accuracy and compliance

Lab Quality Control

Lab Quality Control

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Laboratory scientist using a pipette to dispense liquid into a strip of microtubes, supporting assay validation, reference material preparation and quality assurance in molecular and next-generation sequencing workflows.

Clinical Diagnostics

Reference materials

Enable assay validation, verification and ongoing quality assurance across molecular and NGS workflows.

Reference materials
Precision calibration weight positioned on a laboratory analytical balance, supporting calibration verification, measurement accuracy assessment and performance documentation for regulated testing workflows.

Clinical Diagnostics

Calibration verification solutions

Support analytical measurement validation and performance documentation requirements.

Calibration verification solutions

Why molecular laboratories choose LGC

Supporting molecular laboratories through validation, quality control and accreditation readiness

Molecular diagnostics expertise

Extensive experience supporting molecular testing, clinical genomics workflows and laboratory quality programmes.

Independent quality solutions

Independent controls and reference materials help laboratories assess testing consistency objectively and support quality assurance activities.

Support across the assay lifecycle

Solutions supporting validation, verification, quality control, proficiency testing and ongoing performance monitoring.

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Frequently asked questions

What is molecular diagnostics in a hospital laboratory setting?

Molecular diagnostics uses DNA, RNA and other molecular biomarkers to detect, characterise and monitor disease using technologies such as qPCR, digital PCR and next-generation sequencing (NGS).

What quality control does a molecular assay need?

Most molecular assays require positive controls, negative controls, no-template controls and assay-specific quality control materials that demonstrate performance remains within established acceptance criteria.

What is the difference between a run control and a reference material?

Run controls monitor routine assay performance, whereas reference materials are used to establish or verify analytical performance characteristics such as accuracy, precision and LoD.

What material do you need to validate a laboratory-developed test?

Validation studies commonly use characterised reference materials, contrived samples and clinical specimens to demonstrate assay performance claims.

How do you establish limit of detection for a molecular assay?

LoD studies establish the lowest concentration at which an assay can reliably detect the target with predefined confidence.

What is external quality assessment and how does it differ from proficiency testing?

Both assess laboratory performance using external samples. Proficiency testing is typically a formal assessment programme, while external quality assessment (EQA) may encompass broader inter-laboratory performance comparisons.

How do you monitor assay performance between lots?

Independent quality controls, reference materials and lot comparison studies help identify changes in analytical performance following reagent or consumable changes.

What documentation do CAP and CLIA inspections expect for molecular assays?

Inspections typically review validation records, QC data, proficiency testing results, corrective actions, lot verification studies and quality management documentation.

How do control requirements differ between oncology and infectious disease panels?

Oncology assays frequently require low-frequency variant controls and sensitivity monitoring, while infectious disease assays place greater emphasis on extraction controls, amplification controls and contamination monitoring.

Can controls be supplied for a laboratory-developed test?

Yes. Independent controls and reference materials can support both validation and ongoing quality monitoring of laboratory-developed tests.

Discuss your molecular laboratory programme

Whether you are validating a laboratory-developed test, implementing a new NGS panel, monitoring analytical performance or preparing for CAP accreditation, our specialists can help identify appropriate quality controls, reference materials and proficiency testing solutions for your molecular laboratory.