Hellenic Accreditation System Annex G1/5 to the Certificate No.715-2 SCOPE of ACCREDITATION of the Clinical Laboratory of “ΑΛΦΑ LAB” private diagnostic laboratory, Medical S.A. Tested materials/ products Types of test/ Properties to be measured Applied Standards/ Techniques to be used Cytogenetics 1. Bone Marrow , Peripheral Blood , Lymphatic tissue 1. Karyotype /Detection of acquired chromosome abnormalities 2. Peripheral Blood 1. Karyotype /Detection of chromosome abnormalities 3. Amniotic fluid 4. Chorion villus sample (CVS) In-house methods (Π.Κ.01, Π.Κ.02, Π.Κ.03, Π.Κ.04, Π.Κ.05) Cells culturing, cell collection (harvest) and karyotyping (Chromosome analysis) based on ACC and ECA Cytogenetic Guidelines and Quality Assurance, 2005 and ISCN, 2009 5. Products of conception and samples of abortuses Molecular Genetics 1. Amniotic fluid, Chorion 1. QF PCR and detection of F508del villus sample (CVS), Products mutation of the cystic fibrosis gene of conception and samples of abortuses In-house method (Π.M.04) Polymerase Chain Reaction (PCR) (MJReasearch) with the use of STRs on specific sites of chromosomes 13, 18, 21, Χ and Υ. Fragment analysis in genetic analyser ABI 3130XL and quantitative estimate of the PCR products with the use of analysis program GeneMapper ID 2. Peripheral Blood, Amniotic 1. Detection of 36 mutations of the fluid, Chorion villus sample cystic fibrosis gene (CFTR) (CVS) INNO-LiPA CFTR19 and INNO-LiPA CFTR17 INNOGENETICS* Polymerase Chain Reaction (PCR) and reverse dot blot (MJ Research) 3. Peripheral Blood In-house method (Π.Μ.22) DNA Sequencing with the use of Big Dye Terminator kit v.1.1 (ABI) and analysis of the results in genetic analyser ABI 3130XL Page 1 of 3 1.Mutation detection in Breast Cancer susceptibility gene 1 and 2 (BRCA1 & BRCA2) (full coding sequence, splice sites and flanking intronic sequences) Annex G1/5 to the Certificate ESYD No. 715-2 26.11.2014 Tested materials/ products 4. Paraffin-embedded tissues Types of test/ Properties to be measured 1.Mutation detection in KRAS gene (exons 1,2) 2. Mutation detection in NRAS gene (exons 2,3,4) 3.Mutation detection in BRAF gene (exons 11,15) 4. Mutation detection in EGFR gene (exons 18,19,20,21) Applied Standards/ Techniques to be used In-house method (Π.Μ.11) DNA Sequencing with the use of Big Dye Terminator kit v.1.1 (ABI) and analysis of the results in genetic analyser ABI 3130XL In-house method (Π.Μ.26) DNA Sequencing with the use of Big Dye Terminator kit v.1.1 (ABI) and analysis of the results in genetic analyser ABI 3130XL In-house method (Π.Μ.27) DNA Sequencing with the use of Big Dye Terminator kit v.1.1 (ABI) and analysis of the results in genetic analyser ABI 3130XL In-house method (Π.Μ.18) DNA Sequencing with the use of Big Dye Terminator kit v.1.1 (ABI) and analysis of the results in genetic analyser ABI 3130XL Molecular microbiology 1. Paraffin-embedded tissues, tissue sample from biopsy, cellular swab Detection and genotyping of Human Papilloma Virus (HPV)- 28 genotypes (6, 11, 16, 18, 26, 31, 33, 35, 39, 40, 43, 44, 45, 51, 52, 53, 54, 56, 58, 59, 66, 68, 69/ 71, 70, 73, 74, 82) PCR and Reverse dot blot hybridization with the manufacturer’s kit INNO-LiPA HPV Genotyping Extra, INNOGENETICS*. Use of RFLP method (restriction fragment length polymorphism). Molecular Cytogenetics 1. Bone marrow, Peripheral Blood, Paraffin-embedded tissues (section), surgical biopsy Florescent In Situ Hybridization (FISH), with DNA probes for the detection of: 1. Chromosome aneuploidies In-house method (Π.K.10) In Situ Hybridization with DNA probes for specific or repeated sequences 2. Fusion genes (BCR-ABL, ETOAML1, TEL-AML1, PML-RARA, IgH-CCND1, IgH-FGFR3, IgHBCL2, IgH-MAF, CBFβ/MYH11, FIP1L1/ PDGFRA) 3. Gene rearrangements (IgH, MLL, AML1, PDGFRB, TCRa/d, ALK, cMYC, IGL, IGK) 4. Chromosome / Gene deletions (5/5q, 7/7q, P16(9p21), D13S319(13q14.3), 13q34, P53(17p13.1), ATM(11q22.3), MYB(6q23), 1p36) 5. Gene amplifications (1q21) * Reference to the commercial name of a specific kit, refers to a specific analytical method and protocol Page 2 of 3 Annex G1/5 to the Certificate ESYD No. 715-2 26.11.2014 Site of assessment: Laboratory permanent premises: 11 Anastasiou str., GR-115 24, Athens, Greece. Approved signatories: L. Florentin, P. Velissariou, F. Sachinidi, C. Bili, A. Hatzaki, E. Gali, Th. Varvouni, A. Maravelaki, E. Panou, E. Manisali, J. Donoghue-Nadali, M. Karkaletsi, S. Christopoulou, P. Pitta, C. Gouedard, A. Katseli. This Scope of Accreditation replaces the previous one dated 10.07.2014. The Accreditation Certificate No.715-2, to ELOT EN ISO 15189:2007, is valid until 08.11.2018. Athens, November 26, 2014 Ioannis Sitaras Director of the Laboratories Accreditation Division Page 3 of 3 Annex G1/5 to the Certificate ESYD No. 715-2 26.11.2014