Lost, misrouted, or compromised send‑out specimens leading to redraws and repeat testing

$50–$200 per affected biospecimen in redraw, shipping, and repeat testing, with easily $100,000+ per year in large research programs when frequent redraws and protocol deviations trigger extra monitoring visits, sponsor credits, or loss of future study awards. • $50–$200 per affected case in recollection, staff time, shipping, and repeat testing, plus tens of thousands of dollars annually in sales productivity loss and potential lost contracts when large employer accounts lose confidence in turnaround and chain of custody. • $50–$200 per affected specimen in recollection, repeat shipping, and retesting, plus additional costs tied to delayed public health reporting, contract penalties, or loss of preferred status with state or local health departments—often reaching six figures annually in high‑volume or outbreak periods.

Credentialing and account staff manually cross‑check shipment manifests, courier tracking numbers, and reference lab accession reports in spreadsheets and shared email folders whenever public health partners report missing or delayed specimens. • Credentialing and study support staff rely on email chains with sites and labs, shipment manifests in Excel, and scanned or faxed paper logs to reconstruct where a sample went when CROs report missing, late, or compromised specimens. • Manual tracking via phone calls, emails, or spreadsheets