Once the decision has been made to pursue testing, tests for relatively common disorders usually are obtained from commercial laboratories (GeneTest). Blood is drawn and mailed to the laboratory, and the test results are conveyed back to the healthcare professional who ordered the test. That person then has the responsibility of conveying the results, usually in person, to the individual who has been tested. Genetic tests for rare disorders sometimes are available only from laboratories in academic medical centers that have a particular interest in the disease in question. Those laboratories may not have satisfied the ongoing quality and proficiency assessments required of commercial laboratories, thus raising questions about the reliability of testing obtained from this source.
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