Citations checked against 42 CFR Part 493 on 11 November 2026Independent publisher. Not affiliated with CMS, CDC or any accreditation organization.
CLIA Templates

Kits / IQCP

IQ-01 to IQ-06

IQCP Kit

An IQCP has three parts: a risk assessment, a quality control plan and a quality assessment. Surveyors look for all three, for evidence that the risk assessment used the laboratory's own data, and for the director's signature.

CMS and CDC publish a free IQCP workbook and it is worth reading. This kit is the finished document set in editable form, laid out so the three parts and the supporting data stay together for each test system.

Written for: Nonwaived laboratories that run controls less often than the default in the regulation and rely on an Individualized Quality Control Plan.

First page of IQ-02 Risk Assessment Worksheet, showing the document header, control block and the start of the form
IQ-02 Risk Assessment Worksheet, first page, before personalization. Bracketed fields fill in from the Personalize tool or by hand.

Look inside

What happens after you buy

  1. 1
    Pay securelyCheckout is run by Lemon Squeezy, which handles payment and any sales tax. Your receipt arrives by email straight away.
  2. 2
    DownloadThe receipt links to a zip file with every document in Word or Excel, plus a fillable PDF of each one. Open the Start Here guide first.
  3. 3
    Make it yoursOptional: drop the zip into the Personalize tool to add your name, CLIA number and logo to every file.
  4. 4
    Review and signYour laboratory director reviews, adapts and approves each document before use.
  5. 5
    Stay currentWhen we revise a file in the next 12 months, the updated version is available from your original order.

What is in the kit

Doc no.DocumentFormat
IQ-01IQCP Policy
When the laboratory uses an IQCP, who prepares it, who approves it and when it is reviewed.
Word + PDF
IQ-02Risk Assessment Worksheet
Specimen, test system, reagent, environment and testing personnel, each across the preanalytic, analytic and postanalytic phases.
Word + PDF
IQ-03Quality Control Plan
Number, type and frequency of controls, acceptance criteria and the actions when controls fail.
Word + PDF
IQ-04Quality Assessment Review
The ongoing monitoring that shows the plan is working, and the trigger for a new risk assessment.
Word + PDF
IQ-05Supporting Data Summary
QC history, proficiency testing results, corrective actions and manufacturer information used in the risk assessment.
Excel + PDF
IQ-06Laboratory Director Approval Page
Signature, date and annual review block.
Word + PDF

Regulation behind each document

The middle column is our plain-language summary. Read the regulation itself before you rely on it.

CitationWhat it asks forAddressed in
42 CFR 493.1256(d)The default control procedures, unless CMS approves an equivalent procedure described in Appendix C of the State Operations Manual.IQ-01, IQ-03
State Operations Manual, Appendix CThe IQCP procedure: risk assessment, quality control plan and quality assessment.IQ-02, IQ-03, IQ-04

What the kit does not do

  • A quality control plan can never ask for less than the manufacturer's instructions require.
  • Accreditation organizations set their own IQCP rules and forms. Check yours before adopting this set.

Your director stays in control

These are templates, written so your laboratory director can review, adapt and approve each one quickly. Nothing is used until they sign it.

CLIA is a federal minimum. Your state, and your accreditation organization if you have one, may require more. We do not promise a survey outcome, and we do not give regulatory or legal advice. Read the full terms.