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PierianDx expertise

Next Generation Expertise.

With over 200 years of combined clinical genomics experience, our medical and scientific teams are ready to help you build the most advanced next generation  precision medicine program.

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Click below to learn more about each service.

Genomic Interpretation Services

Standardize genomic reporting and quickly scale your variant review and sign-out capacity with our clinically trained team of 30+ variant scientists and medical experts led by our board certified Medical Director.

NGS Assay Validation Services

With over 25 cancer and germline assay validations under our belt, you can trust our expert team to help launch your genomic sequencing tests faster, with higher quality and at lower overall validation costs.

Health IT Integration Services

Our engineering team is ready to scale your genomic testing operations and expand your precision medicine program with API and HL7 based integration with your institution's electronic medical record, laboratory information system and enterprise data warehouse.

Assay Planning/Consultation

Let our clinically experienced team help you design and build a more robust next generation sequencing testing menu for more effective and billable testing.

Genomic Interpretation Services

Pierian Interpretation Services is an expert and clinically trained team of variant scientists led by our board certified Medical Director who aid in the professional review and sign-out of clinical next generation sequencing cases. Our services cover the full range of genomic testing for inherited conditions and somatic cancer, and can be customized in three ways:

  1. Variant Scientist Review
  2. Variant Scientist Review + Medical Director Review
  3. Variant Scientist Review + Medical Director Review + Medical Director Sign-out

The Pierian Advantage


The SOP we follow is developed in collaboration with our clients for our clients to meet their unique needs. 


Have a question or need to relay extra information about a complex case? Our Interpretation Services Director is a phone call or email away. 


All our interpretations are written in adherence with CAP/AMP/ASCO and ACMG guidelines, and are focused on their impact on clinical care.

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NGS Assay Validation Services

Let our expert team of bioinformaticists and scientists do the heavy lifting for your next genomic sequencing assay validation. We offer "dry lab" or bioinformatics assay validation services at three different tiers depending on your needs.


Essential Bioinformatics Support
  • Validation analyses and data review
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Advanced NGS Validation Support

Everything in Essentials, plus: Validation plan development

  • Validation plan development
  • Assay familiarization and optimization
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Complete NGS Validation Support

Everything in Advanced, plus:

  • Initial assay design and approach
  • Validation project management
  • Test requisition and consent form development
  • CAP/CLIA compliant documentation
  • Test pre-launch preparation
  • Post-launch scientific and medical support
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Health IT Integration Services

API and HL7 based integrations of various healthcare information technologies enable the automation of complex workflows and provides flexibility in how genomic data and reports are delivered. 

Health IT Integration Benefits: 

  • Scalability of operations
  • Reduces the potential for human error
  • Expands the utility of genomic data throughout a health system
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Assay Planning and Consultation

Our professional services team has helped our customers deploy over 150 different genomic testing panels and subpanels -- a sampling of assays is listed above. This experience enables us to help our clients build a more clinically robust, effective and billable test menu.

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Webinar: Interpretation and Reporting of Sequence Variants in Cancer

Shalini Verma, MD, FCAP - Medical Director and Laboratory Director, Pierian

Andy Bredemeyer, PhD - VP of Product, Pierian

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Webinar: Taking Your NGS Testing Program to the Next Level with Enhanced Validation and Interpretation Services

Presenter: Rakesh Nagarajan, MD, PhD - Founder and Executive Chairman, Pierian

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Building a Best-in-Class Precision Medicine Program: The Moffitt Cancer Story

Presenters: Anthony M. Magliocco, MD - Chair Anatomic Pathology and Executive Chairman of Esoteric Laboratory Services and the Morsani Molecular Diagnostic Laboratory

Rakesh Nagarajan, MD, PhD - Founder and Executive Chairman, Pierian

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PierianDx expertise

"I knew that with the resources we had, there was no way to create something that would rival a system like the CGW. As we've set up reflex testing in various cancer types, we have been well supported to scale the massive undertaking..."

- Nikoletta Sidiropoulos, MD - Medical Director, University of Vermont Medical Center



“There's going to be a bottleneck in the professional component as well sometimes. Pierian allowed us to widen that bottleneck and to have more uniformity of reporting.”

- Eric Loo, MD - Asst. Professor, Pathology and Lab Medicine, Dartmouth-Hitchcock


“We chose Pierian because their technology combined with expert scientific and clinical services will help accelerate TriCore’s ability to expand our NGS test offerings and provide enhanced clinically actionable information.

- Eric Carbonneau - Director Core Laboratory Operations, TriCore Reference Laboratories


“A new partnership with Pierian expands our reporting to include current clinical trials and up-to- the-minute treatment options, all linked to NorthShore’s Electronic Medical Record.”

- NorthShore University HealthSystem Kellogg Cancer Center 2017 Annual Report


Learn how we can help you advance your clinical genomics testing and precision medicine programs.

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