| The reliability and accuracy of a DNA paternity test | | | | accreditation, in most states, qualifies a laboratory to |
| depends primarily on two factors: (1) the level of | | | | perform chain-of-custody paternity testing for civil |
| confidence or certainty that the samples collected | | | | court cases (largely family law matters). |
| and submitted to the laboratory are those of the | | | | If test results may potentially be presented as |
| intended participants, and (2) the level of technical | | | | evidence in civil matters to any government |
| competence of the laboratory performing the DNA | | | | entity-including family courts, the IRS, U.S. Citizenship |
| analysis. Of the different paternity testing options | | | | and Immigration Services (USCIS), Social Security |
| available to consumers, a chain-of-custody (COC) | | | | Administration (SSA), and the U.S. military-or other |
| test performed by an AABB-accredited laboratory | | | | official tribunal such as an Indian tribal council, then |
| provides the highest level of trustworthiness. | | | | tested parties are advised to obtain a COC test and |
| A "chain-of-custody" (COC) paternity test, | | | | to ensure that the testing laboratory is |
| sometimes called a "legally-admissible" or | | | | AABB-accredited. In so doing, participants can be |
| "legally-defensible" paternity test, is one in which | | | | confident that their results are trustworthy, |
| neutral third parties with no interest in the test | | | | defensible in a court of law, and unlikely to face |
| outcome (1) obtain informed consent and positive | | | | judicial challenge or rejection. Moreover, because |
| identification-usually an instant photographs and/or | | | | sample identification and chain-of-custody is |
| government-issued photo IDs-for all tested parties, | | | | vigorously documented and maintained throughout |
| (2) collect, label, and package all samples in a | | | | the testing process, test participants may be |
| tamper-evident manner, (3) receive and test the | | | | protected and have legal recourse against the lab in |
| samples at the laboratory, and (4) document each | | | | the event of a lab error. While some paternity testing |
| stage of the testing process to ensure that a | | | | labs hold other accreditations that may provide |
| verifiable, traceable chain-of-custody is maintained. | | | | additional assurance of reliability, AABB accreditation is |
| These procedures not only minimize misidentification | | | | considered the gold standard in the industry. In the |
| and laboratory errors, but they also enable precise | | | | State of New York, paternity tests must be ordered |
| traceability of each step in the testing process, | | | | by a court or physician and performed only by |
| should an investigation be necessary. | | | | laboratories certified by the New York State |
| Most labs performing COC paternity tests hold one | | | | Department of Health. Most, if not all, of these |
| or more accreditations or certifications that reflect | | | | laboratories are also AABB-accredited. As one might |
| their proficiency in various aspects of the testing | | | | expect for paternity tests that must comply with |
| process. In the United States, the most widely | | | | strict regulatory requirements, COC tests performed |
| recognized accreditation program specific for | | | | by AABB-accredited labs are not only the most |
| paternity testing laboratories is that established and | | | | trustworthy, they are also the most expensive, |
| administered by AABB. Through regular inspections-or | | | | typically ranging from $400 to $600. |
| assessments-AABB ensures that the policies, | | | | Because the outcome of a DNA paternity test can |
| processes, and procedures in place at its accredited | | | | completely change the course of a life-sometimes |
| labs adhere to AABB's published Standards for | | | | many lives-I believe that the highest priority of those |
| Relationship Testing Laboratories, which govern | | | | seeking a paternity test should be obtaining a test |
| quality control and quality assurance in COC paternity | | | | that they can trust, even if that means spending up |
| testing. These Standards encompass the qualifications | | | | to $500 for a COC test as described above. If you |
| and training of staff, procedures for sample | | | | decide that a non-COC test, such as a "home" |
| identification and chain-of-custody, technical | | | | paternity test, is the best choice for your personal |
| proficiency in DNA sample analysis and data | | | | situation, please take the time to consider the |
| interpretation, validation of tests and instrumentation, | | | | relevant concerns, limitations, and risks of your |
| and handling of incidents, errors, accidents, among | | | | options, so that you can take proactive steps to |
| other issues. AABB is approved by the U.S. Secretary | | | | minimize the concerns and maximize your confidence |
| of Health and Human Services as a body whose | | | | in the test results. |