How It Works

Study Design

CLSI EP28 specifies a pragmatic minimum design for reference interval verification:

Reference Interval VerificationVerification onlyCLSI EP28-Ed3-IG / CLSI C28-A3c≥ 20 samples
Reference individualsMinimum 20 healthy subjects
Replicates per individualTypically 1 (replicates optional)
Runs1 run
Days1 day (minimum)
Pass/fail threshold≤ 10% of results outside the proposed reference interval

If the reference interval is partitioned by sex, age, or another demographic variable, at least 20 reference individuals are required for each subgroup. The same 10% rule applies independently to each partition.