Smart Oversight. Stronger Margins. Direct Support without Agencies

Need to expand testing but don’t know where to start?

Worried about staying compliant or passing your next inspection?

Lab Compliance Simplified provides experienced, on-demand Technical Consultants (TC) and Technical Supervisors (TS) to support CLIA compliance, test expansion, and operational efficiency, without the cost or commitment of a full-time hire.

Our fractional oversight model delivers the right level of expertise, keeping your lab compliant, inspection-ready, and running efficiently while your clinical team stays focused on patient care.

Fractional oversight for small, clinician-led labs

Designed for physician office labs, small clinics, and long-term care facilities that rely on clinicians for testing and do not have full-time licensed laboratory leadership.

  • CLIA Technical Consultant/Supervisor

  • New Test Validation & Verification

  • CLIA, CAP, COLA & AAAHC Compliance Support

  • Point-of-Care & In-House Testing Expansion

  • Staff Competency Assessments by a CLIA-qualified laboratory leader

  • Quality Systems, SOPs & Inspection Readiness

  • Specialized Support for LTACHs & Skilled Nursing Facilities

  • Ideal for waived and moderate-complexity testing environments

  • Yes. We support physician office laboratories, ambulatory clinics, long-term acute care hospitals (LTACHs), and skilled nursing and long-term care environments, with oversight tailored to each setting’s test menu and regulatory requirements.

  • Yes. We provide CLIA laboratory oversight and ongoing compliance support for labs performing waived testing only, as well as those offering a mix of waived and moderate-complexity tests.

  • Yes. We support setup, verification, training, and ongoing CLIA-compliant oversight for i-STAT and other moderate-complexity point-of-care platforms.

  • I offer independent, fractional laboratory oversight grounded in real-world clinical operations. Clients work with me directly, not layers of consultants, to achieve compliant testing, inspection readiness, and sustainable laboratory practices tailored to their setting.

  • I offer fractional laboratory oversight with predictable monthly pricing based on your lab’s test menu, complexity, and regulatory needs. This model provides ongoing access and accountability without the variability of hourly consulting or agency-based arrangements.

  • Working with me is collaborative, practical, and forward-thinking. I focus on meeting regulatory requirements while also improving efficiency, workflow, and the clinician and patient experience. Rather than relying on “how it’s always been done,” I look for compliant, modern solutions that support good medicine, responsible costs, and sustainable laboratory operations.

Frequently Asked Questions


  • Founder

    I’m Michelle Spinosa, MPH, CLS, MLS(ASCP), Lean Six Sigma Green Belt, and a clinical laboratory leader with 20+ years of experience. I’ve spent my career building efficient, compliant labs—starting two hospital laboratories from the ground up and later earning ASCP’s 40 Under Forty award for leadership.

    As Lab Director for the California Testing Task Force, I led California’s rapid expansion and contraction of COVID-19 and Flu testing, designing scalable processes that supported millions of tests annually.

    Over two decades, I’ve seen how large healthcare systems—despite their strengths—often create layers of complexity that make innovation difficult in outpatient and physician-office settings. My consulting practice exists to give small and moderate-sized labs the expertise, independence, and structure they need to expand testing, improve margins, and stay inspection-ready without carrying the cost of senior lab staff.

    I’m passionate about leading change, simplifying compliance, and helping labs grow efficiently, profitably, and sustainably.

Clinical laboratory consultant providing CLIA compliance and fractional laboratory oversight for physician office labs, and long-term care facilities.

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