Blogs
Understanding Compliance Tiers for Laboratory Developed Tests (LDTs)
In our previous blog in this series, we summarized the FDA’s plan to phase out the enforcement discretion policy for LDTs. To recap, the phase-out policy involves five stages spread across five years.

In this blog, we will elaborate on which rules apply to the various types of LDTs.
The types of compliance required are divided into Tiers 0-IV, as shown in the table below.
Tier 0 lists tests for which the compliance required by the final rule is already expected and enforced.

Thus, the stringency of compliance depends on the type of LDTs being manufactured.
If you are a new molecular LDT manufacturer, watch out for our next blog, which will elaborate on the specific processes that need to be set up and, importantly, how Strand can help.
Explore the rest of the blog series below:
Microbiome Analysis Series
21 Oct 2024
An Ecosystem of Possibilities—Applications of Microbiome Analysis
Data Harmonization Series
22 Mar 2024
Resolving Ontology Inconsistencies: Insights from Strand's Approach
Precision Medicine
12 May 2026
Biologicals and Microbials in Agriculture: Understanding the Science and the Data Behind Them
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