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It infrastructure assessment checklist template

Technical assessment checklist 2026

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The document is a checklist and questionnaire for submitting a technical assessment dossier for genetic testing under the MolDX program. It outlines the necessary information and materials required for submission, including details about the test's methodology, clinical validity, and utility. The document specifies different types of tests (e.g., NGS, somatic, germline) and provides instructions on how to complete the application process, including additional documentation needed based on specific criteria.

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Click ‘Get Form’ to open the technical assessment checklist in our editor.
Begin by filling out the 'Applicant/Lab' section with your details, followed by the 'Test name' and 'Z-identifier'.
Proceed to the 'Test Details Checklist/Questionnaire'. Carefully read each question and select 'Yes' or 'No' as applicable. If you answer 'Yes' to question #2, ensure you complete form M00116.
For questions regarding NGS methodology, specify whether your test is for somatic or germline testing. Make sure to check all relevant options that apply.
If additional documentation is required based on your responses, follow the instructions provided on the subsequent page of the checklist.

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