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  1. COVID-19 Emergency Use Authorizations for Medical Devices

In Vitro Diagnostics Emergency Use Authorizations (EUAs) - Serology and Other Adaptive Immune Response Tests for SARS-CoV-2

March 24, 2023 - The FDA has finalized two guidances: Transition Plan for Medical Devices That Fall Within Enforcement Policies Issued During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency and Transition Plan for Medical Devices Issued Emergency Use Authorizations (EUAs) Related to Coronavirus Disease 2019 (COVID-19). The guidances outline the FDA's general recommendations to transition from certain policies adopted and operations implemented during the COVID-19 pandemic to normal operations, including the FDA's recommendations for: 

  • Developing a transition implementation plan, 
  • Submitting a marketing submission, and 
  • Taking other actions with respect to these devices. 

The FDA encourages stakeholders to review the two final guidances, view the webinar, and reach out to the FDA if they have questions or concerns. In particular, for manufacturers planning to seek marketing authorization for their devices, the FDA recommends beginning work on a marketing submission, including a transition implementation plan, as described in the guidances. 

Additional Resources: 

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Individual EUAs for Serology and Other Adaptive Immune Response Tests for SARS-CoV-2

This table includes information about authorized SARS-CoV-2 serology/antibody tests and other adaptive immune response tests that have been authorized individually. These EUAs have been issued for each individual test with certain conditions of authorization required of the manufacturer and authorized laboratories.

For additional performance information about EUA authorized serology/antibody tests, please see the EUA Authorized Serology Test Performance page.

For information on test EUAs that have been revoked see Historical Information about Device Emergency Use Authorizations: In Vitro Diagnostics (IVD).

In addition to COVID-19 tests issued EUAs, there are serology SARS-CoV-2 tests that have been authorized through traditional premarket review pathways.

To see additional authorization documents, such as letters granting EUA amendments or revisions, and a list of other brand names authorized under a specific EUA, select the plus (+) button beside the "Date EUA Issued or Last Updated" for each EUA.

Authorized devices in the table below are assigned the QKO product code.

Date EUA Issued or Last UpdatedEntityDiagnostic (Most Recent Letter of Authorization) and Date EUA Originally IssuedAttributes3Authorized Setting(s)1Authorization Documents2Other DocumentsOther Brand Name(s)
05/31/2022LG Chem, Ltd.AdvanSure SARS-CoV-2 IgG(RBD) ELISA 
05/31/2022
IgG, ELISAHHCP, Recipients, IFUNoneNone
05/19/2022LG Chem, Ltd.AdvanSure SARS-CoV-2 IgG(S1) ELISA
05/19/2022
IgG, ELISAHHCP, Recipients, IFUNoneNone
03/01/2022EUROIMMUN US, Inc.EUROIMMUN Anti-SARS-CoV-2 S1 Curve ELISA (IgG)
10/04/2021
IgG, ELISA, Semi-quantitativeH, MHCP, Recipients, IFUNone
08/24/2021InBios International, IncSCoV-2 Detect IgG Rapid Test
08/24/2021
IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNoneNone
05/24/2022Abbott Laboratories Inc.SARS-CoV-2 IgG assay
04/26/2020
IgG, CMIAH, MHCP, Recipients, IFU-ARCHITECT, IFU-AlinityiNone
04/15/2020Mount Sinai LaboratoryCOVID-19 ELISA IgG Antibody Test
04/15/2020
IgG, ELISAHHCP, Patients, EUA SummaryNone
10/07/2021DiaSorin Inc.LIAISON SARS-CoV-2 S1/S2 IgG
04/24/2020
IgG, CLIAH, MHCP, Recipients, IFUNone
02/25/2022Bio-Rad Laboratories, Inc.Platelia SARS-CoV-2 Total Ab assay
04/29/2020
Total Antibody, ELISAHHCP, Recipients, IFUNone
04/30/2020Wadsworth Center, New York State Department of HealthNew York SARS-CoV Microsphere Immunoassay for Antibody Detection
04/30/2020
Total Antibody, FMIAHHCP, Recipients, EUA SummaryNone
07/13/2021Roche DiagnosticsElecsys Anti-SARS-CoV-2
05/02/2020
Total Antibody, ECLIAH, MHCP, Recipients, IFUNone
02/09/2022EUROIMMUN US Inc.Anti-SARS-CoV-2 ELISA (IgG)
05/04/2020
IgG, ELISAHHCP, Recipients, IFUNone
01/26/2022Healgen Scientific LLCCOVID-19 IgG/IgM Rapid Test Cassette (Whole Blood/Serum/Plasma)
05/29/2020
IgM and IgG Lateral FlowH, MHCP, Recipients, IFUNone
06/01/2021Siemens Healthcare Diagnostics Inc.Atellica IM SARS-CoV-2 Total (COV2T)
05/29/2020
Total Antibody, CLIA, Semi-quantitative H, MHCP, Recipients, IFUNone
09/14/2021Siemens Healthcare Diagnostics Inc.ADVIA Centaur SARS-CoV-2 Total (COV2T)
05/29/2020
Total Antibody, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNoneNone
06/04/2020Vibrant America Clinical LabsVibrant COVID-19 Ab Assay
06/04/2020
IgM and IgG, CLIAHHCP, Recipients, EUA SummaryNone
12/21/2020Hangzhou Biotest Biotech Co., Ltd.RightSign COVID-19 IgG/IgM Rapid Test Cassette
06/04/2020
IgM and IgG Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFU 
  • Premier Biotech COVID-19 IgG/IgM Rapid Test Cassette
  • CoronaCHEK COVID-19 IgG/IgM Rapid Test Cassette
01/18/2022Siemens Healthcare Diagnostics Inc.Dimension Vista SARS-CoV-2 Total antibody assay (COV2T)
06/08/2020
Total Antibody, CLIAH, MHCP, Recipients, IFUNone
01/18/2022Siemens Healthcare Diagnostics Inc.Dimension EXL SARS-CoV-2 Total antibody assay (CV2T)
06/08/2020
Total Antibody, CLIAH, MHCP, Recipients, IFUNone
05/14/2021InBios International, Inc.SCoV-2 Detect IgG ELISA
06/10/2020
IgG, ELISAH, MHCP, Recipients, IFUNone
04/21/2022Emory Medical LaboratoriesSARS-CoV-2 RBD IgG test
06/15/2020
IgG, ELISAHHCP, Recipients, EUA SummaryNone
12/16/2021Biohit Healthcare (Hefei) Co. Ltd.Biohit SARS-CoV-2 IgM/IgG Antibody Test Kit
06/18/2020
IgM and IgG Lateral FlowH, MHCP, Recipients, IFUThermoGenesis SARS-CoV-2 IgM/IgG Antibody Test Kit
02/14/2022Hangzhou Laihe Biotech Co., Ltd.LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold)
06/19/2020
IgM and IgG Lateral FlowH, MHCP, Recipients, IFUNone
03/25/2021InBios International, Inc.SCoV-2 Detect IgM ELISA
06/30/2020
IgM, ELISAHHCP, Recipients, IFUNone
01/31/2022Assure Tech. (Hangzhou Co., Ltd)Assure COVID-19 IgG/IgM Rapid Test Device
07/06/2020
IgM and IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFU
  • Ecotest COVID-19 IgG/IgM Rapid Test Device
  • Fastep COVID-19 IgG/IgM Rapid Test Device
01/18/2022Diazyme Laboratories, Inc.Diazyme DZ-Lite SARS-CoV-2 IgG CLIA Kit
07/08/2020
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
03/12/2021Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.WANTAI SARS-CoV-2 Ab Rapid Test
07/10/2020
Total Antibody, Lateral FlowH, MHCP, Recipients, IFUNone
07/12/2021Salofa OySienna-Clarity COVIBLOCK COVID-19 IgG/IgM Rapid Test Cassette
07/13/2020
IgM and IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFU
  • Clarity COVIBLOCK COVID-19 IgG/IgM Rapid Test Cassette
  • Sienna COVID-19 IgG/IgM Rapid Test Cassette
03/09/2022Megna Health, Inc.Rapid COVID-19 IgM/IgG Combo Test Kit
07/17/2020
IgM and IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNone
11/06/2020Xiamen Biotime Biotechnology Co., Ltd.BIOTIME SARS-CoV-2 IgG/IgM Rapid Qualitative Test
07/24/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFU
  • Telepoint SARS-CoV-2 IgG/IgM Rapid Qualitative Test
08/12/2021Access Bio, Inc.CareStart COVID-19 IgM/IgG
07/24/2020
IgM and IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFU
  • Rapid Response Liberty COVID-19 IgG/IgM
  • KarmaCare SARS-CoV-2 IgM/IgG
08/05/2020Beijing Wantai Biological Pharmacy Enterprise Co., Ltd.WANTAI SARS-CoV-2 Ab ELISA
08/05/2020
Total Antibody, ELISAHHCP, Recipients, IFUNone
08/17/2020BioCheck, Inc.BioCheck SARS-CoV-2 IgG and IgM Combo Test
08/17/2020
IgM and IgG, CLIAH, MHCP, Recipients, IFUNone
01/18/2022Diazyme Laboratories, Inc.Diazyme DZ-Lite SARS-CoV-2 IgM CLIA Kit
08/17/2020
IgM, CLIAH, MHCP, Recipients, IFUNone
08/25/2020Biocan Diagnostics Inc.Tell Me Fast Novel Coronavirus (COVID-19) IgG/IgM Antibody Test
08/25/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFUNone
08/31/2020TBG Biotechnology Corp.TBG SARS-CoV-2 IgG / IgM Rapid Test Kit
08/31/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFUNone
11/19/2021Sugentech, Inc.SGTi-flex COVID-19 IgG
09/03/2020
IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFU
  • TekiTrust COVID-19 IgG
09/09/2020BioCheck, Inc.BioCheck SARS-CoV-2 IgM Antibody Test Kit
09/09/2020
IgM, CLIAH, MHCP, Recipients, IFUNone
09/09/2020BioCheck, Inc.BioCheck SARS-CoV-2 IgG Antibody Test Kit
09/09/2020
IgG, CLIAH, MHCP, Recipients, IFUNone
12/16/2021Shenzhen New Industries Biomedical Engineering Co., Ltd.MAGLUMI 2019-nCoV IgM/IgG
09/14/2020
IgM and IgG, CLIAH, MHCP, Recipients, IFUNone
03/01/2022Jiangsu Well Biotech Co., Ltd.Orawell IgM/IgG Rapid Test
09/23/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFU
  • INDICAID COVID-19 IgM/IgG Rapid Test
12/13/2021NanoEntek America, Inc.FREND COVID-19 total Ab
09/29/2020
Total Antibody, FIAH, MHCP, Recipients, IFUNone
09/29/2020Nirmidas Biotech, Inc.Nirmidas COVID-19 (SARS-CoV-2) IgM/IgG Antibody Detection Kit
09/29/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFUNone
12/08/2021ZEUS Scientific, Inc.ZEUS ELISA SARS-CoV-2 IgG Test System
10/06/2020
IgG, ELISAH, MHCP, Recipients, IFUNone
10/08/2020Genalyte, Inc.Maverick SARS-CoV-2 Multi-Antigen Serology Panel v2
10/08/2020
Total Antibody, photonic ring immunoassayH, MHCP, Recipients, IFUNone
10/01/2021Abbott Laboratories Inc.AdviseDx SARS-CoV-2 IgM 10/09/2020IgM, CMIAH, MHCP, Recipients,   IFU-ARCHITECTIFU-AlinityiNoneNone
10/28/2020Quansys Biosciences, Inc.Q-Plex SARS-CoV-2 Human IgG (4 Plex) 10/28/2020IgG, CLIAHHCP, Recipients, IFUNone
02/01/2022GenScript USA Inc.cPass SARS-CoV-2 Neutralization Antibody Detection Kit
11/06/2020
Total Neutralizing Antibodies, Blocking ELISA, Semi-quantitativeHHCP, Recipients, IFUNone
11/24/2020Kantaro Biosciences, LLCCOVID-SeroKlir, Kantaro Semi-Quantitative SARS-CoV-2 IgG Antibody Kit
11/24/2020
IgG, ELISA, Semi-quantitativeHHCP, Recipients, IFUNone
08/24/2022Roche Diagnostics, Inc.Elecsys Anti-SARS-CoV-2 S
11/25/2020
Total Antibody, ECLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
07/21/2022Innovita (Tangshan) Biological Technology Co., Ltd.Innovita 2019-nCoV Ab Test (Colloidal Gold)
11/23/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFUNone
12/15/2021ACON Laboratories, Inc.ACON SARS-CoV-2 IgG/IgM Rapid Test
12/15/2020
IgM and IgG, Lateral FlowH, MHCP, Recipients, IFUNone
11/02/2021Nirmidas Biotech, Inc.MidaSpot COVID-19 Antibody Combo Detection Kit
12/31/2020
IgM and IgG, lateral flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNone
03/04/2022Siemens Healthcare Diagnostics Inc.Dimension EXL SARS‑CoV‑2 IgG (CV2G)
01/08/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
03/04/2022Siemens Healthcare Diagnostics Inc.Dimension Vista SARS‑CoV‑2 IgG (COV2G)
01/08/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
04/26/2021ADVAITE, Inc.RapCov Rapid COVID-19 Test
01/11/2021
IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNone
01/19/2021Phadia ABEliA SARS-CoV-2-Sp1 IgG Test
01/11/2021
IgG, Fluoroenzyme Immunoassay, Semi-quantitativeH, MHCP, Recipients, IFUNone
01/15/2021United Biomedical, Inc.UBI SARS-CoV-2 ELISA
01/15/2021
IgG, ELISAHHCP, Recipients, IFUNone
12/09/2021Immunodiagnostic Systems Ltd.IDS SARS-CoV-2 IgG
02/10/2021
IgG, CLIAH, MHCP, Recipients, IFUNone
06/07/2024Abbott Laboratories Inc.AdviseDx SARS-CoV-2 IgG II
03/01/2021
IgG, CMIA, Semi-quantitativeH, MHCP, Recipients, IFU-ARCHITECT, IFU-AlinityiNone
07/21/2022Adaptive Biotechnologies CorporationT-Detect COVID Test
03/05/2021
T-cell receptor beta (TCR β), SequencingHHCP, Recipients, EUA SummaryNone
01/19/2022Siemens Healthcare Diagnostics Inc.Atellica IM SARS-CoV-2 IgG (sCOVG)
03/23/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNoneNone
06/24/2021Symbiotica, Inc.COVID-19 Self-Collected Antibody Test System
04/05/2021
IgG, ELISA, Home Collection, Fingerstick Dried Blood SpotHHCP, Recipients, EUA Summary, IFU (Home Collect)None
04/19/2021Inova Diagnostics, Inc.QUANTA Flash SARS-CoV-2 IgG
04/19/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
12/13/2021ZEUS Scientific, Inc.ZEUS ELISA SARS-CoV-2 Total Antibody Test System
05/11/2021
Total Antibody, ELISAH, MHCP, Recipients, IFUNone
02/28/2022QIAGEN, GmbHQIAreach Anti-SARS-CoV-2 Total Test
05/11/2021
Total Antibody, Digital Lateral FlowH, MHCP, Recipients, IFUNone
05/19/2021DiaSorin, Inc.LIAISON SARS-CoV-2 TrimericS IgG
05/19/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
02/01/2022NOWDiagnostics, Inc.ADEXUSDx COVID-19 Test
05/24/2021
Total Antibody, Lateral Flow, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNoneNone
08/10/2021Diabetomics, Inc.CovAb SARS-CoV-2 Ab Test
06/04/2021
Total Antibody, Lateral Flow, Oral FluidH, M, WHCP, Recipients, IFUNoneNone
08/10/2021Siemens Healthcare Diagnostics Inc.ADVIA Centaur SARS-CoV-2 IgG (sCOVG)
06/17/2021
IgG, CLIA, Semi-quantitativeH, MHCP, Recipients, IFUNone
06/24/2021Access Bio, Inc.CareStart EZ COVID-19 IgM/IgG
06/24/2021
IgM and IgG, Lateral Flow, Fingerstick Whole BloodH, M, WHCPRecipients, IFUNone
07/13/2022Ortho-Clinical Diagnostics, Inc.VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Quantitative Reagent Pack used in combination with the VITROS Immunodiagnostic Products Anti- SARS-CoV-2 IgG Quantitative Calibrator
07/09/2021
IgG, CLIA, QuantitativeH, MHCP, Recipients, IFUNone
09/21/2023Ortho-Clinical Diagnostics, Inc.VITROS Immunodiagnostic Products Anti-SARS-CoV-2 Total N Reagent Pack used in combination with the VITROS Immunodiagnostic Products Anti-SARS-CoV-2 Total N Antibody Calibrators
07/22/2021
Total Antibody, CLIAH, MHCP, Recipients, IFUNone
08/31/2022LumiraDx UK Ltd.LumiraDx SARS-CoV-2 Ab Test
08/02/2021
Total Antibody, Fluorescence Immunoassay, Fingerstick Whole BloodH, M, WHCP, Recipients, IFUNone
10/22/2021InBios International, Inc.SCoV-2 Detect Neutralizing Ab ELISA
10/22/2021
Total Neutralizing Antibodies, ELISAHHCP, Recipients, IFUNoneNone
12/06/2022Diazyme Laboratories, Inc.Diazyme SARS-CoV-2 Neutralizing Antibody CLIA Kit
12/06/2022
Total Neutralizing Antibodies, CLIAH, MHCP, Recipients, IFUNoneNone

1 Authorized settings include the following:

  • H - Laboratories certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a, that meet requirements to perform high complexity tests.
  • M - Laboratories certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a, that meet requirements to perform moderate complexity tests.
  • W - Patient care settings operating under a CLIA Certificate of Waiver.

2 Authorization Documents include the Healthcare Provider (HCP) and Patient Fact Sheets and either the Manufacture Instructions/Package Insert (abbreviated to IFU) or the EUA Summary.

3 Abbreviations: CLIA = chemiluminescence immunoassay; ELISA = enzyme-linked immunosorbent assay; ECLIA = electrochemiluminescence immunoassay; FMIA = fluorescent microsphere Immunoassay, CMIA = chemiluminescent microparticle immunoassay; ELFA = enzyme-linked fluorescence assay


Revision Concerning Viral Mutations

On September 23, 2021, the FDA revised the EUAs of certain molecular, antigen, and serology tests to establish additional Conditions of Authorization in response to the continued emergence of new variants of SARS-CoV-2. The revision requires test developers to update their authorized labeling and evaluate the impact of SARS-CoV-2 viral mutations on their test's performance as outlined in the letter. This revision is effective as of September 23, 2021 for all EUAs that are within the scope of the revision. This revision does not apply to EUAs for authorized IL-6 assays or standalone specimen collection devices and does not apply to EUAs that include substantially equivalent viral mutation conditions of authorization.


The FDA has determined that establishing additional conditions is necessary to mitigate the potential risk of false negative results due to either decreased sensitivity or non-reactivity associated with SARS-CoV-2 viral mutations. As set forth in the September 23, 2021 letter, developers of authorized tests that are within the scope of the revision are now required to routinely monitor emerging viral mutations and their potential impact on the performance of the authorized SARS-CoV-2 test(s).  If potential impacts are identified, the EUA holder must communicate with the FDA and end users about the potential risk that presence of the mutations may have on test performance. The EUA holder must also update their authorized labeling consistent with the revision letter and submit the labeling to the FDA within 3 months of September 23, 2021. By taking these steps, the FDA and the test developer can quickly act in response to the potential risks identified and, when applicable, share the findings on SARS-CoV-2 Viral Mutations: Impact on COVID-19 Tests

Viral Mutation Revision Letter – September 23, 2021


Umbrella EUA for Independently Validated Serology Tests for SARS-CoV-2

On April 28, 2020, FDA issued an umbrella EUA for SARS-CoV-2 Antibody Tests (Lateral flow or Enzyme-linked immunosorbent assay (ELISA) tests) that have been evaluated in an independent validation study performed at the National Institutes of Health's (NIH) National Cancer Institute (NCI), or by another government agency designated by the FDA, and are confirmed by the FDA to meet the criteria set forth in the Scope of Authorization of the EUA.  To date, however, no device has been added to the list of authorized devices in Appendix A of the letter of authorization.

On July 21, 2020, FDA determined, based on information and experience since issuing this EUA, that circumstances support revocation of this umbrella EUA so that FDA may issue individual EUAs. Individual EUAs will allow for broader indications and scopes of authorization, individualized conditions of authorization to address any issue unique to a specific test, and more streamlined EUA amendments, such as additional uses that would not fall under this umbrella EUA.

Accordingly, the EUA was revoked under Section 564(g)(2)(C) of the Federal Food, Drug, and Cosmetic (FD&C) Act.

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