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In Italy, genetic testing for inborn errors of immunity (IEI) is currently performed either at one of the Academic University Hospitals or IRCSS (Istituti di Ricovero e Cura a carattere Scientifico) with a Medical Genetics Department, or at accredited private genetics laboratories. The Department of human genetics of Academic institutions specialized in the diagnosis and therapy of IEI, are considered referral centers for the interpretation of IEI genomic data. In Italy, genetic counselling should precede and follow a genetic testing (pre-test and post-test) as recommended by the Ministry of Health. The diagnostic report must be signed by a geneticist with Medical Genetics specialty.

In Germany, genetic testing for inborn errors of immunity (IEI) is being performed either at one of the 28 academic university centers who have a human genetics department, or at accredited private genetics laboratories. An academic center which has specialized on the interpretation of IEI genes, is for example the human genetics department at the Medizinische Hochschule Hannover (MHH; https://www.mhh.de/humangenetik/diagnostik-einsendungen/untersuchungsauftraege); a private laboratory specialized on IEI is e.g. CeGaT in Tübingen (https://www.humangenetik-tuebingen.de/seltene-erkrankungen/).