You can get great info at www.pathologistsassistants.org

CLIA '88 lists the requirements for non-pathologists grossing. Grossing is considered high-complexity testing even if it's a punch biopsy. CLIA '88 states "On or before April 24 1995 (I) be a high school graduate or equivalent; and (b) have documentation of training appropriate for the test performed before analyzing patient specimens"................After that date it requires an associate degree in a biological or chemical science or medical laboratory technology -or- qualify as a medical technologist with a bachelor's degree from an accredited institution -or- earned a bachelor's degree in a chemical, physical, biologic or clinical laboratory science.

ref. CLIA '88 493.1489

Also CAP requires a written instruction detailing what specimens may be grossed with direct vs indirect pathologists' observation. Direct means that the pathologist literally watches over your shoulder while you gross the specimen. Indirect means that he is readily available to consult.

I hope this helps,

Charles R. Embrey Jr., PA(AAPA), HT(ASCP)
Histology Manager
Carle Clinic
Urbana, IL   (217) 383-6621