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There's been a lot of discussion recently around how FDA's regulating a category test or not regulating a category test called laboratory developed tests can you talk a little bit about what is a laboratory developed tests and what is the the controversy around how they're being regulated right so a laboratory developed test think of it as something that's developed kind of in-house so it's it's a laboratory tests that can be developed within a single facility for a particular purpose and these are pretty common and I would say for example a hospital that develops its own vitamin D assay or something that's specific to that lab inside of that hospital is an LD t that's what we'll call them and the FDA has not really extended its regulatory reach into this area however there's another factor at play the clinical lab improvement Amendment Improvement Amendments of 1988 CLIA as it's called which is a factor and these are our lab tests that have traditionally been kind of outside of the clinical lab Improvement Amendments because CLIA has just looked at the kind of analytic validity of testing but hasn't done necessarily a sweeping overview and now there's a gap where consumers and others have been concerned about the quote true validity of these tests and that's opened up the authority for the FDA to look at regulating these mechanisms I would say it practically speaking these are tests which are some of the ones that deal with the latest in kind of breakthroughs and genetics around autism spectrum disorders cancer screening a number of things that we see in the commonplace and that many clinicians and patients are actually utilizing but this concern over the analytic validity as well as the reliability of the test has come into play recently and the FDA is released a report around this which i think is opening the door to some interesting areas right so these are tests that basically a was sold as laboratory services where single lab would be conducting the tests and they said that since we're a service we're not a medical device subject to FDA regulation LSD is coming and saying no in fact you meeting all the characteristics of medical device and we intend to regulate you better but so far the agency's been exercising enforcement discretion around around a lot of these tests and so right my presumption is what the agency wants to do is certify in most cases the clinical validity meaning that the test reliably says exactly what it purports to say exactly but not necessarily the clinical utility so there's distinction there right it is a distinction and again at this I mentioned Clea because there's this interplay with what Clea does in this case especially with CMS and other agencies within the government so I think at the end of the day for what this means for patients is that it might turn out that some of.