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Chembio Diagnostics

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FY2020 Annual Report · Chembio Diagnostics
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UNITED STATES
Securities and Exchange Commission
Washington, D.C.  20549

FORM 10-K

☒

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2020
or

TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

☐
For the transition period from _______ to ______.

Commission File No.0-30379

CHEMBIO DIAGNOSTICS, INC.

(Exact name of registrant as specified in its charter)

Nevada
(State or other jurisdiction of incorporation or organization)

88-0425691
(I.R.S. Employer Identification No.)

 555 Wireless, Boulevard, Hauppauge, NY
(Address of principal executive offices)

11788
(Zip Code)

Registrant’s telephone number, including area code (631)924-1135

Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Common Stock, $0.01 par value

Trading Symbol
CEMI

Name of each exchange on which registered
The NASDAQ Stock Market LLC

Securities registered pursuant to Section 12(g) of the Act:
None
(Title of Class)

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes ☐ No ☒

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒

Indicate by checkmark whether the registrant has filed a report on and attestation to it’s management’s assessment of the effectiveness of internal control
over  financial  reporting  under  Section  404(b)  of  the  Sarbanes-Oxley  Act  (15  U.S.C.  7262(b))  by  the  registered  public  accounting  firm  that  prepared  or
issued its audit report. Yes ☒   No ☐

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.  Yes ☒   No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of
Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). 
Yes ☒  No ☐

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) is not contained herein, and
will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form
10-K or any amendment to this Form 10-K. ☒

Indicate  by  check  mark  whether  the  registrant  is  a  large  accelerated  filer,  an  accelerated  filer,  a  non-accelerated  filer,  smaller  reporting  company,  or  an
emerging  growth  company.  See  the  definitions  of  “large  accelerated  filer”,  “accelerated  filer”,  “smaller  reporting  company,”  and  “emerging  growth

 
 
 
 
 
 
 
 
 
 
 
company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐
Non-accelerated filer ☐

Accelerated filer ☒
Smaller reporting company ☒
Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new
or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   Yes ☐ No ☒

As of the last business day of the registrant’s most recently completed fiscal quarter, the aggregate market value of voting and non-voting common equity
held by non-affiliates was $0.

As of  March 11, 2021, the registrant had 20,182,357 shares of common stock outstanding.

Documents Incorporated By Reference

Portions of the registrant’s proxy statement for its 2020 annual meeting of stockholders are incorporated by reference in Part III of this report.

 
 
Table of Contents

PART I

PART II

PART III

PART IV

ITEM 1.
ITEM 1A.
ITEM 2.
ITEM 3.

ITEM 5.

ITEM 7.

ITEM 8.
ITEM 9A.

ITEM 10.
ITEM 11.
ITEM 12.

ITEM 13.
ITEM 14.

TABLE OF CONTENTS

BUSINESS
RISK FACTORS
PROPERTIES
LEGAL PROCEEDINGS

MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND
ISSUER PURCHASES OF EQUITY SECURITIES
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
CONTROLS AND PROCEDURES

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
EXECUTIVE COMPENSATION
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED
STOCKHOLDER MATTERS
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
PRINCIPAL ACCOUNTANT FEES AND SERVICES

ITEM 15.

EXHIBITS, FINANCIAL STATEMENT SCHEDULES

SIGNATURES

Page

4
14
38
38

39

40
47
47

48
48

48
48
48

49
50

Unless the context requires otherwise, the words ‘‘we,’’ ‘‘us,’’ ‘‘our,’’ ‘‘our company,’’ ‘‘Chembio’’ and similar terms refer to Chembio Diagnostics, Inc.
and its consolidated subsidiaries.

DPP,  STAT-PAK,  STAT-VIEW  and  SURE  CHECK  are  our  registered  trademarks,  and  CHEMBIO  and  MICRO  READER  are  our  trademarks.  For
convenience, these trademarks appear inthis report without ® and ™ symbols, and that practice does not mean that we will not assert, to the fullest extent
under applicable law, our rights to the trademarks.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

FORWARD-LOOKING STATEMENTS AND STATISTICAL ESTIMATES

This report contains statements reflecting our views about our future performance that constitute “forward-looking statements” within the meaning of the
Private  Securities  Litigation  Reform  Act  of  1995.  These  forward-looking  statements  are  generally  identified  through  the  inclusion  of  words  such  as
“anticipate,”  “believe,”  “contemplate,”  “could,”,“estimate,”  “expect,”  “forecast,”  “intend,”  “may,”  “objective,”  “outlook,”  “plan,”  “potential,”  “project,”
“seek,” “should,” “strategy,” “target,” “will,” “would” or variations of such words or similar expressions. All statements addressing our future operating
performance,  and  statements  addressing  events  and  developments  that  we  expect  or  anticipate  will  occur  in  the  future,  are  forward-looking  statements
within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based upon currently available information,
operating plans, and projections about future events and trends.

This report contains estimates, projections and other data concerning our industry, our business and the markets for our products. Where expressly stated,
we  obtained  this  industry,  business,  market  and  other  data  from  reports,  research  surveys,  studies  and  similar  data  prepared  by  the  World  Health
Organization, or WHO. We also include data that we have compiled, obtained, identified or otherwise derived from reports, research surveys, studies and
similar data prepared by market research firms and other third parties, industry, medical and general publications, government data and similar sources.
Other than WHO, we do not expressly refer to the sources from which this data is derived.

Forward-looking  statements  and  statistical  estimates  inherently  involve  risks  and  uncertainties  that  could  cause  actual  results  to  differ  materially  from
those predicted or expressed in this report. These risks and uncertainties include those described in Part I, Item 1A. “Risk Factors” in our Annual Report
on Form 10-K for the fiscal year ended December 31, 2020, as filed with the Securities and Exchange Commission on March X, 2020, in Part II, Item 1A.
“Risk  Factors”  in  our  Quarterly  Report  on  Form  10-Q  for  the  quarterly  period  ended  March  31,  2020,  as  filed  with  the  Securities  and  Exchange
Commission on May 4, 2020, in Part II, Item 1A. “Risk Factors” in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2020, as
filed with the Securities and Exchange Commission on August 7, 2020, and in Part II, Item 1A, . “Risk Factors” in our Quarterly Report on Form 10-Q for
the quarterly period ended September 30, 2020, as filed with the Securities and Exchange Commission on November 5, 2020, and in Part II, Item 1A, “Risk
Factors,” of this report. You should interpret many of the risks identified in these reports as being heightened as a result of the ongoing and numerous
adverse  impacts  of  the  COVID-19  pandemic.  Investors  are  cautioned  not  to  place  undue  reliance  on  any  forward-looking  statements  or  statistical
estimates,  which  speak  only  as  of  the  date  they  are  made.  We  undertake  no  obligation  to  update  any  forward-looking  statement  or  statistical  estimate,
whether as a result of new information, future events or otherwise.

3

Table of Contents

ITEM 1.

BUSINESS

Overview

PART I

We  develop,  manufacture  and  commercialize  point-of-care  tests  for  the  detection  and  diagnosis  of  infectious  diseases,  including  COVID‑19,  sexually
transmitted disease, and fever and tropical disease.

Our  product  portfolio  is  based  upon  our  proprietary  DPP  technology,  a  diagnostic  platform  that  provides  high-quality,  cost-effective  results  in  15  to  20
minutes  using  fingertip  blood,  nasal  swabs  and  other  sample  types.  The  DPP  technology  platform  addresses  the  rapid  diagnostic  test  market,  which
includes  infectious  diseases,  cardiac  markers,  cholesterol  and  lipids,  pregnancy  and  fertility,  and  drugs  of  abuse.  Compared  with  traditional  lateral  flow
technology, the DPP technology platform can provide:

● Enhanced sensitivity and specificity: This is achieved via our patented approach to separating the sample path from the buffer path, together with

other patented and proprietary strategies, than traditional lateral flow tests. It also delivers lower levels of detection.

● Advanced multiplexing capabilities: Through advanced multiplexing, the DPP platform can detect and differentiate up to eight distinct test results

from a single patient sample, which can deliver greater clinical value than other rapid tests.

● Quantitative results: For some diagnostic applications, our easy-to-use, highly portable, battery-operated DPP Micro Reader optical analyzers can
report accurate results in approximately 15 seconds, making it well-suited for decentralized testing where real-time results enable patients to be
clinically  assessed  while  they  are  still  onsite.  Objective  results  produced  by  the  DPP  Micro  Reader  can  reduce  the  possibility  of  the  types  of
human error that can be experienced in the visual interpretations required by many rapid tests.

We target the market for rapid diagnostic test solutions for infectious diseases, which is driven by the high prevalence of infectious diseases globally, an
increase  in  the  geriatric  population,  growing  demand  for  rapid  test  results,  and  advancements  in  multiplexing.  We  have  a  broad  portfolio  of  infectious
disease products, which prior to 2020 were focused principally on sexually transmitted disease and fever and tropical disease. For example, in June 2020
we received FDA clearance of our 510(k) submission for the DPP Zika IgM System, which consists of an antibody test for Zika IgM and a DPP Micro
Reader and which had previously received an FDA Emergency Use Authorization or EUA. In October 2020 the DPP HIV-Syphilis System, an antibody
test system for the human immunodeficiency virus or HIV and Treponema pallidum bacteria (the causative agent of syphilis), received FDA approval for a
Premarket Approval, or PMA, application.

In  February  2020  we  began  the  process  of  shifting  substantially  all  of  our  resources  to  leverage  the  DPP  technology  platform  to  address  the  acute  and
escalating need for diagnostic testing for COVID-19.

● COVID-19 antibody test system: We initially refocused our business strategy on the development and commercialization of the DPP COVID-19
IgM/IgG  System,  which  consisted  of  a  new  serological  test  for  COVID-19  and  a  DPP  Micro  Reader  that  could  provide  separate  numerical
readings for both IgM and IgG levels of antibodies to the virus. We acquired three regulatory approvals of the DPP COVID-19 IgM/IgG system in
our  targeted  global  testing  market:  an  EUA,  granted  by  the  FDA  in  April  2020;  an  approval  for  emergency  use  issued  by  Brazil’s  Agência
Nacional de Vigilância Sanitária, or ANVISA, in April 2020, and a CE Marking for the European Union obtained in early May 2020. In June 2020
the FDA revoked the EUA for the DPP COVID-19 IgM/IgG system. In September 2020 we submitted to the FDA an EUA application for the
DPP SARS-CoV-2 IgM/IgG System, a new rapid antibody test system that detected COVID-19 antibodies using a different methodology that was
consistent with updated FDA guidance, but in December 2020 the FDA notified us that it was declining to review the new system based on the
FDA’s then-effective prioritization guidance, under which review of the system was not a priority because, for example, the FDA determined that
authorization of the tests would have relatively limited impact on testing accessibility or testing capacity.

● COVID-19 antigen test system: In July 2020 we received a $628,071 grant, the First BARDA Grant, from the Department of Health and Human
Services; Office of the Assistant Secretary for Preparedness and Response; Biomedical Advanced Research and Development Authority, Division
of Research Innovation and Ventures, or BARDA, to assist us in developing, submitting and obtaining an EUA application for a COVID-19 point-
of-care antigen system using DPP technology. In October 2020, with BARDA’s support in accordance with its grant, we submitted to the FDA an
EUA  application  for  the  DPP  SARS‑CoV‑2  Antigen  System,  a  test  system  that  consists  of  a  DPP  SARS-CoV-2  Antigen  test  cartridge,  a  DPP
Micro Reader optical analyzer and a minimally invasive nasal swab. In December 2020 we received a $12.7 million grant from BARDA, in part to
support  preparation,  submission,  and  approval  of  FDA  510(k)  clearance  for  the  DPP  SARS-CoV-2  Antigen  System.  In  January  2021  the  FDA
notified us that it was declining to review the DPP SARS-CoV-2 Antigen System based on its updated prioritization guidance, under which review
of  the  system  was  not  a  priority.  The  FDA  has  supplementally  advised  us  of  the  type  and  nature  of  information  it  would  need  to  receive  in  a
subsequent EUA application in order for the DPP SARS-CoV-2 Antigen System to be prioritized for review, and we are engaged in testing and
development in order to submit a new EUA application for a COVID-19 antigen test system.

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Table of Contents

● COVID-19 and Influenza respiratory antigen panel test system: BARDA’s $12.7 million grant in December 2020 also supported our development,
submission  and  receipt  of  an  EUA  for  a  rapid,  multiplex  respiratory  antigen  panel  point-of-care  test  system  using  DPP  technology.  We  are
currently  seeking  to  develop  and  conduct  clinical  trials  of  the  DPP  Respiratory  Antigen  Panel,  a  test  system  being  designed  to  provide
simultaneous, discrete and differential detection of Influenza A, Influenza B and SARS-CoV-2 antigens from a single patient respiratory specimen,
such as a nasal swab, in approximately 20 minutes. The system is intended to enable appropriate clinical management of patients with suspected
respiratory infections and to assist in the containment of COVID-19 cases during the flu season. This test system is expected to provide results in
approximately 20 minutes and to be run on the DPP Micro Reader.

For additional information about our existing and proposed product offerings, please see “—Products” below.

Our  products  are  sold  globally,  directly  and  through  distributors,  to  medical  laboratories  and  hospitals,  governmental  and  public  health  entities,  non-
governmental organizations, medical professionals, and retail establishments. We continue to seek to expand our commercial distribution channels.

The extensive economic disruption caused by the COVID-19 pandemic, exacerbated by the market and regulatory complications we faced in seeking to
develop and commercialize a portfolio of COVID-19 test systems, was reflected in our operating results for 2020, as total revenues were $32.5 million, a
decrease  of  5.8%  from  2019,  and  net  product  sales  were  $24.8  million,  a  decrease  of  14.1%  from  2019.  See  “Item  7.  Management’s  Discussion  and
Analysis of Financial Condition and Results of Operations—Consolidated Results of Operations.”

In 2020 we continued to invest in automating our test manufacturing processes, all of which are now based in the United States. Among other actions, we
expanded our manufacturing capabilities by validating and implementing automated lines. Our transition from manual to automated assembly is intended to
add capacity, reduce variable costs and improve product margins. In order to address challenging economic conditions and implement our business strategy,
we continued to execute a program to reduce operating expenses and better align our costs with revenues, including by eliminating positions that were no
longer aligned with our strategy. Our cash and cash equivalents totaled $23.1 million at December 31, 2020, compared to $18.3 million at December 31,
2019.

Industry

The DPP technology platform targets diagnostic disease states; (1) where rapid diagnosis impacts patient treatment and outcomes; (2) that are underserved
by  current  diagnostic  products  due  to  performance  or  availability;  and  (3)  that  present  opportunities  regionally,  demographically  or  clinically.  We  are
focused on test solutions associated with infectious diseases: respiratory viruses, sexually transmitted diseases, gastroenterology and insect-vector diseases.

Our product portfolio is marketed globally to NGO’s, Ministries of Health, acute care hospitals, reference labs, outpatient clinics including urgent cares and
physician offices. Our branded products have secured meaningful market share globally and include, SURE CHECK, STAT-PAK and DPP. We will focus
on internally developed products and pursue external opportunities to license novel technologies and products with the intent of leveraging our growing
commercial infrastructure.

We currently are targeting rapid diagnostic test solutions for infectious diseases: respiratory diseases, sexually transmitted diseases, gastroenterology and
insect-vector diseases. The market for rapid diagnostic infectious disease tests is being driven by the high prevalence of infectious diseases globally, an
increase in the geriatric population, growing demand for rapid test results, and advancements in multiplexing.

Products

We  develop,  manufacture  and  commercialize  point-of-care  tests  for  the  detection  and  diagnosis  of  infectious  diseases,  including  COVID‑19,  sexually
transmitted disease, and insect-vector diseases. We target the market for rapid diagnostic test solutions for infectious diseases, which is driven by the high
prevalence of infectious diseases globally, an increase in the geriatric population, growing demand for rapid test results, and advancements in multiplexing.

Much of our product portfolio is based upon our proprietary DPP technology, a diagnostic platform that provides high-quality, cost-effective results in 15 to
20  minutes  using  fingertip  blood,  nasal  swabs  and  other  sample  types.  The  DPP  technology  platform  addresses  the  rapid  diagnostic  test  market,  which
includes  infectious  diseases,  cardiac  markers,  cholesterol  and  lipids,  pregnancy  and  fertility,  and  drugs  of  abuse.  Compared  with  traditional  lateral  flow
technology, the DPP technology platform can provide:

● Enhanced sensitivity and specificity: This is achieved via our patented approach to separating the sample path from the buffer path, together with

other patented and proprietary strategies, than traditional lateral flow tests. It also delivers lower levels of detection.

5

Table of Contents

● Advanced multiplexing capabilities: Through advanced multiplexing, the DPP platform can detect and differentiate up to eight distinct test results

from a single patient sample, which can deliver greater clinical value than other rapid tests.

● Quantitative results: For some diagnostic applications, our easy-to-use, highly portable, battery-operated DPP Micro Reader optical analyzers can
report accurate results in approximately 15 seconds, making it well-suited for decentralized testing where real-time results enable patients to be
clinically  assessed  while  they  are  still  onsite.  Objective  results  produced  by  the  DPP  Micro  Reader  can  reduce  the  possibility  of  the  types  of
human error that can be experienced in the visual interpretations required by many rapid tests.

COVID-19 Diagnostic Test Systems
Prior to 2020, our broad portfolio of infectious disease products was focused principally on sexually transmitted disease and fever and tropical disease. In
2020 we shifted substantially all of our resources to leverage the DPP technology platform to address the acute and escalating need for diagnostic testing
for COVID-19.

COVID-19 Antibody Test System

Beginning in February 2020 we refocused our business strategy on the development and commercialization of a COVID-19 antibody test system based on
DPP technology. We initially developed the DPP COVID-19 IgM/IgG System, which consisted of a new serological test for COVID-19 and a DPP Micro
Reader that could provide separate numerical readings for both IgM and IgG levels of antibodies to the CORONA-19 virus. We acquired three regulatory
approvals  of  the  DPP  COVID-19  IgM/IgG  System  in  our  targeted  global  testing  market:  an  EUA,  granted  by  the  FDA  in  April  2020;  an  approval  for
emergency  use  issued  by  Brazil’s  Agência  Nacional  de  Vigilância  Sanitária,  or  ANVISA,  in  April  2020,  and  a  CE  Marking  for  the  European  Union
obtained in early May 2020. In June 2020, however, the FDA revoked the EUA for the DPP COVID-19 IgM/IgG System.

In the second quarter of 2020 we began shipping the DPP COVID-19 IgM/IgG System to fulfill a $4 million purchase order from Bio-Manguinhos, a long-
standing customer that is a subsidiary of the foundation responsible for the development and production of vaccines, diagnostics and biopharmaceuticals
for Brazil’s national public health system.

In  September  2020  we  submitted  to  the  FDA  an  EUA  application  for  the  DPP  SARS-CoV-2  IgM/IgG  System,  a  new  rapid  antibody  test  system  that
detected COVID-19 antibodies using a different methodology that was consistent with updated FDA guidance. In December 2020 the FDA notified us that
it was declining to review the DPP SARS-CoV- 2 IgM/IgG System based on the FDA’s then-effective prioritization guidance. Under this guidance, review
of the system was not a priority for the FDA because, for example, the FDA determined that authorization of the tests would have relatively limited impact
on testing accessibility or testing capacity. The FDA has supplementally advised us of the type and nature of information it would need to receive in a
subsequent EUA application in order for the DPP SARS-CoV-2 IgM/IgG System to be prioritized for review. We are continuing to evaluate whether to
commit  further  resources  to  the  testing  and  development  that  would  be  required  in  order  to  seek  to  submit  a  new  EUA  application  for  a  COVID-19
antibody test system.

In January 2021 we announced the CE mark for the DPP SARS-CoV-2 IgM/IgG test system, providing regulatory approval to register and market the test
systems in the European Union and other geographies that accept the CE mark.

COVID-19 Antigen Test System

In mid-2020 we began to focus on the development of a COVID-19 antigen test system based on DPP technology. In July 2020 we received a $628,071
grant from BARDA to assist us in developing, submitting and obtaining an EUA application for, a COVID-19 point-of-care antigen system. In October
2020, with BARDA’s support in accordance with its grant, we submitted to the FDA an EUA application for the DPP SARS‑CoV‑2 Antigen System, a test
system that consists of a DPP SARS-CoV-2 Antigen test cartridge, a DPP Micro Reader optical analyzer and a minimally invasive nasal swab.

In November 2020 ANVISA approved the DPP SARS-CoV-2 Antigen test system for use in Brazil.

In December 2020 we received a $12.7 million grant from BARDA, in part to support preparation of a submission in pursuit of FDA 510(k) clearance for
the DPP SARS-CoV-2 Antigen System.

In January 2021 the FDA notified us that it was declining to review the DPP SARS-CoV-2 Antigen System based on its updated prioritization guidance,
under which review of the system was not a priority. The FDA has supplementally advised us of the type and nature of information it would need to receive
in  a  subsequent  EUA  application  in  order  for  the  DPP  SARS-CoV-2  Antigen  System  to  be  prioritized  for  review,  and  we  are  engaged  in  testing  and
development in order to submit a new EUA application for a COVID-19 antigen test system.

In January 2021 we announced the CE mark for the DPP SARS-CoV-2 Antigen test system, providing regulatory approval to register and market the test
systems in the European Union and other geographies that accept the CE mark.

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COVID-19 and Influenza Respiratory Antigen Panel Test System

In the fourth quarter of 2020 we began developing a rapid, multiplex respiratory antigen panel point-of-care test system using DPP technology. BARDA
designated a portion of its $12.7 million grant in December 2020 for use to support our development, submission and receipt of an EUA for this system.

We  are  currently  seeking  to  develop  and  conduct  clinical  trials  of  the  DPP  Respiratory  Antigen  Panel,  a  test  system  being  designed  to  provide
simultaneous, discrete and differential detection of Influenza A, Influenza B and SARS-CoV-2 antigens from a single patient respiratory specimen, such as
a  nasal  swab,  in  approximately  20  minutes.  The  system  is  intended  to  enable  appropriate  clinical  management  of  patients  with  suspected  respiratory
infections and to assist in the containment of COVID-19 cases during the flu season. This test system is expected to provide results in approximately 20
minutes and to be run on the DPP Micro Reader.

To  enhance  our  offered  product  line  quickly,  we  signed  an  in-licensing  agreement  to  distribute  a  visual-read,  point-  of-care,  EUA-approved  respiratory
panel for the detection of SARS-CoV-2 antigens, Influenza A and Influenza B. This offering is scheduled to launch in March 2021.

Legacy Products

We have obtained FDA approvals and, directly or through our partners, international regulatory approvals for infectious disease tests as follows:

Product

DPP COVID-19 IgM/IgG System
DPP HIV 1/2 Assay
DPP HIV-Syphilis System
DPP Syphilis Screen & Confirm Assay
DPP ZCD IgM/IgG System
DPP Dengue NS1 Antigen System
DPP Dengue IgM/IgG System
DPP Zika IgM System
DPP Zika IgM/IgG System
DPP Chikungunya System
DPP Ebola Antigen System
DPP Leishmaniasis Assay
HIV 1/2 STAT-PAK Assay
Chagas STAT-PAK Assay
SURE CHECK HIV 1/2 Assay
SURE CHECK HIV Self-Test

U.S.

✓
✓

✓

✓ EUA

✓

✓

International
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓

✓
✓
✓
✓
✓

Organic growth in our core infectious disease business is being driven by:

●
●
●

●
●

growth in the overall market for rapid diagnostic infectious disease tests;
our increased market penetration in existing markets and channels, including in the United States, Latin America, and Europe;
our registration of existing and new products in unchartered countries and regions, such as selected countries in Latin America and Southeast
Asia;
our entry into new market segments, such as respiratory tests and international HIV Self-Testing; and
advances in our product pipeline in infectious disease with key products including a tests for COVID-19, a  multiplex test for HIV and syphilis
in the U.S. market and tests for dengue, zika and chikungunya.

We market and sell both stand-alone and multiplex tests for sexually transmitted infectious diseases, such as HIV and syphilis. HIV and syphilis continue to
be major global public health issues. According to WHO estimates:

●

●
●

HIV has claimed more than 35 million lives, including 770,000 in 2018. Approximately 37.9 million people were living with HIV at the end of
2018, and 1.7 million were newly infected during 2018.
There were 18.0 million prevalent cases of syphilis as of 2012, and 5.6 million new infections were estimated to occur annually.
Elimination  of  mother-to-child  transmission,  or  MTCT,  of  both  HIV  and  syphilis  is  a  global  health  priority.  In  2013,  1.9  million  pregnant
women were infected with syphilis worldwide. Congenital syphilis contributes significantly to infant mortality, accounting for 305,000 annual
perinatal deaths worldwide in 2013. Globally, more than 1.4 million pregnant women were infected with HIV as of 2015, and MTCT of HIV is
estimated to have resulted in over 150,000 infant cases in 2015.

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We are seeking to address the global concerns related to HIV and syphilis co-infection through the development of a novel, multiplex test for both HIV and
syphilis.  We  have  developed  a  DPP  HIV-Syphilis  multiplex  test  and  received  regulatory  approvals  in  the  United  States  and  a  number  of  international
markets, including Brazil, Europe, Malaysia and Mexico. We are pursuing a CLIA waiver for the DPP HIV-Syphilis tests in the United States.

We also market and sell tests for selected fever and tropical diseases such as Chagas, ebola, leishmaniasis and Zika. The market for rapid diagnostic insect-
vector diseases includes established markets for disease such as dengue and malaria, which WHO estimates together account for more than 600 million
annual  infections  worldwide.  There  are  also  a  number  of  emerging  markets  for  rapid  diagnostic  tests  for  infectious  diseases  such  as  burkholderia,
chikungunya, lassa, leptospirosis, Marburg, rickettsia and Zika.

Since  2015  we  have  received  over  $14.2  million  of  funding  from  some  of  the  world’s  leading  health  organizations,  which  has  helped  us  accelerate  the
expansion  of  our  pipeline  of  infectious  disease  tests.  Our  collaborators  have  included  Bill  &  Melinda  Gates  Foundation,  The  Paul  G.  Allen  Family
Foundation,  The  Oswaldo  Cruz  Foundation  or  FIOCRUZ,  and  the  Foundation  for  Innovative  New  Diagnostics,  or  FIND,  as  well  as  U.S.  government
agencies  such  as  Centers  for  Disease  Control  and  Prevention,  or  CDC,  the  Biomedical  Advanced  Research  and  Development  Authority  of  the  U.S.
Department of Health and Human Services, or BARDA, and the U.S. Department of Agriculture, or USDA.

Several tests in our infectious disease pipeline are approaching commercialization, and several have received initial regulatory approvals:

Product

Collaborator

Phase I
Feasibility

Phase II
Development

Phase III
Verification &
Validation

Phase IV
Clinical &
Regulatory

Self-funded

Self-funded

Self-funded

DPP HIV-Syphilis
System (US)
DPP Dengue IgM/IgG
System
DPP Dengue NS1
Antigen System
DPP Chikungunya
IgM/IgG System
DPP Zika Chikungunya
Dengue IgM/IgG
System
DPP Ebola Antigen
System
DPP Fever Assay Asia
DPP Fever Assay Africa Paul Allen Foundation
DPP Fever Assay
Malaysia

Self-funded

Self-funded

Self-funded

FIND

CDC

✓

✓

✓

✓

✓

✓

✓
✓

✓

✓

✓

✓

✓

✓

✓

✓
✓

✓

✓

✓

✓

✓

✓

✓

✓
✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

Phase V
Commercial
Launch

PMA approved

CE and ANVISA

CE and ANVISA
pending

CE and ANVISA

CE and ANVISA

FDA-EUA

Sales Channels

Our  products  are  sold  globally,  both  directly  and  through  distributors,  to  hospitals  and  clinics,  physician  offices,  clinical  laboratories,  public  health
organizations, government agencies and consumers. Historically we marketed and sold our products only into a handful of countries and regions. During
2020, we expanded our U.S.-based sales, customer service, and marketing team to focus on the COVID-19, HIV-Syphilis, and future DPP platform product
opportunities. With sales growth as an underlying objective, we are focused on increasing sales in geographies that support higher average selling prices.
From  lead  generation  through  technical  inquiries,  Chembio  has  the  internal  resources  to  support  customers  through  the  commercial  process  including
marketing,  sales,  sales  support,  order  entry  and  product  support.    Our  goal  is  to  delight  our  global  customers  through  all  facets  of  our  commercial
interactions.

Automation of U.S. Manufacturing

We are automating our U.S. manufacturing processes and expanding our manufacturing capacity. Over the past two years, we have taken delivery of and
completed validation of most of our automated manufacturing lines. These use vision-guided, robotic operation to improve inspection and quality control.
As we transition from manual to automated assembly, we believe the reduced variable costs will improve product gross margins.

DPP Technology & Development

Our  commercially  available  products  employ  either  our  patented  DPP  technology  or  traditional  lateral  flow  technology.  We  believe  products  developed
using our DPP technology can provide superior diagnostic performance compared with products that utilize traditional lateral flow technology.

Chembio’s history of collaborations has proven the strength and capabilities of the DPP platform to address a diverse range of biomarkers. We are now
focusing our R&D resources on delivering products to build a portfolio of COVID-19 tests, Chembio’s new and expanded product portfolio will emphasize
high  value  added  tests  with  strong  margins,  selling  in  developed  markets,  established  sales  channels,  and  clinically  accepted  use  cases,  where  the
differentiated capabilities of DPP provide a competitive advantage.

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Competition

Many  of  our  competitors  are  significantly  larger  and  have  greater  financial,  research,  manufacturing,  and  marketing  resources.  Important  competitive
factors include product quality, analytical performance, ease of use, price, customer service and reputation. Industry competition is based on these and the
following additional factors:

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patent protection;
scientific expertise;
ability to develop and market products and processes;
ability to obtain required regulatory approvals;
ability to manufacture cost-effective products that meet applicable regulatory requirements;
access to adequate capital; and,
ability to attract and retain qualified personnel.

We believe our scientific capabilities and proprietary know-how relating to our patented DPP technology and rapid diagnostic technology are very strong,
particularly for the development and manufacture of tests for the detection of  infectious and other diseases.

Although we have no specific knowledge of any other competitors’ products that could render our products obsolete, if we fail to maintain and enhance our
competitive position or fail to introduce new products and product features, our customers may decide to use the products developed by our competitors,
which could result in a loss of revenues and cash flow.

Employees

As of December 31, 2020, we had 355 full-time equivalent employees, of whom 39 were in administration, 262 were in manufacturing, 32 were in research
and development, and 22 were in sales and marketing and customer service. Of these employees, approximately 320 were located in the United States, 0
were located in Malaysia, 19 were located in Germany and 16 were located in Brazil.

We  have  never  had  a  work  stoppage,  and  none  of  our  employees  are  represented  by  a  labor  organization  or  subject  to  any  collective  bargaining
arrangements. We consider our employee relations to be good.

In January 2021, Chembio announced a restructuting plan in the US and reduced its workforce by approximately 9%, as further discussed on Note 16 -
Subsequent Events.

Governmental Regulation

Certain  of  our  activities  are  subject  to  regulatory  oversight  by  the  FDA  under  provisions  of  the  Federal  Food,  Drug,  and  Cosmetic  Act  and  regulations
thereunder,  including  regulations  governing  the  development,  marketing,  labeling,  promotion,  manufacturing,  and  export  of  diagnostic  products.  Our
clinical laboratory customers are subject to oversight by Centers for Medicare and Medicaid Services, or CMS, pursuant to CLIA, as well as agencies in
various states. Failure to comply with applicable requirements can lead to sanctions, including withdrawal of products from the market, recalls, refusal to
authorize government contracts, product seizures, civil money penalties, injunctions, and criminal prosecution.

FDA Approval/Clearance Requirements

Unless  an  exemption  applies,  each  medical  device  that  we  market  or  wish  to  market  in  the  United  States  must  receive  510(k)  clearance  or  Premarket
Approval, or PMA. Medical devices that receive 510(k) clearance are “cleared” by the FDA to market, distribute, and sell in the United States. Medical
devices that obtain a PMA by the FDA are “approved” to market, distribute and sell in the United States. We cannot be certain that 510(k) clearance or
PMA  approval  will  ever  be  obtained  for  any  products  that  have  not  already  obtained  510(k)  clearance  or  PMA  approval.  Descriptions  of  the  PMA  and
510(k) clearance processes are provided below.

The FDA decides whether a device line must undergo either the 510(k) clearance or PMA based on statutory criteria that utilize a risk-based classification
system. PMA is the FDA process of scientific and regulatory review to evaluate the safety and effectiveness of Class III medical devices and, in many
cases, Class II medical devices. Class III devices are those that support or sustain human life, are of substantial importance in preventing impairment of
human health, or which present a potential, unreasonable risk of illness or injury. The FDA uses these criteria to decide whether a PMA or a 510(k) is
appropriate, including the level of risk that the agency perceives is associated with the device and a determination by the agency of whether the product is a
type of device that is similar to devices that are already legally marketed. Devices deemed to pose relatively less risk are placed in either Class I or II. In
many cases, the FDA requires the manufacturer to submit a 510(k) requesting clearance (also referred to as a premarket notification), unless an exemption
applies. The 510(k) must demonstrate that the manufacturer’s proposed device is “substantially equivalent” in intended use and in safety and effectiveness
to a legally marketed predicate device. A “predicate device” is a pre-existing medical device to which equivalence can be drawn, that is either in Class I or
Class II or is a Class III device that was in commercial distribution before May 28, 1976, for which the FDA has not yet called for submission of a PMA
application.

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Device classification depends on the device’s intended use and its indications for use. In addition, classification is risk-based, that is, the risk the device
poses to the patient and/or the user is a major factor in determining the class to which it is assigned. Class I includes devices with the lowest risk and Class
III includes those with the greatest risk.

Class I devices are those for which safety and effectiveness can be assured by adherence to the FDA’s general regulatory controls for medical devices, or
the  General  Controls,  which  include  compliance  with  the  applicable  portions  of  the  FDA’s  quality  system  regulations,  facility  registration  and  product
listing, reporting of adverse medical events, and appropriate, truthful and non-misleading labeling, advertising, and promotional materials. Some Class I
devices also require premarket clearance by the FDA through the 510(k) process described below.

Class II  devices  are  subject  to  the  FDA’s  General  Controls,  and  any  other  special  controls  as  deemed  necessary  by  the  FDA  to  ensure  the  safety  and
effectiveness of the device. Premarket review and clearance by the FDA for Class II devices is accomplished through the 510(k) process. Pursuant to the
Medical Device User Fee and Modernization Act of 2002, unless a specific exemption applies, 510(k) submissions are subject to user fees. Certain Class II
devices are exempt from this premarket review process.

Class III includes devices with the greatest risk. Devices in this class must meet all of the requirements in Classes I and II. In addition, Class III devices
cannot be marketed until they receive Premarket Approval.

The  safety  and  effectiveness  of  Class  III  devices  cannot  be  assured  solely  by  the  General  Controls  and  the  other  requirements  described  above.  These
devices  require  formal  clinical  studies  to  demonstrate  safety  and  effectiveness.  Under  Medical  Device  User  Fee  and  Modernization  Act  of  2002,  PMA
applications (and supplemental premarket approval applications) are subject to significantly higher user fees than 510(k) applications, and they also require
considerably more time and resources.

Rapid HIV tests intended for diagnostic use are regulated as Class III devices. Responsibility for assuring the safety and effectiveness of these tests lies
within  the  Center  for  Biologics  Evaluation  and  Research’s  Office  of  Blood  Research  and  Review,  with  oversight  by  the  Blood  Products  Advisory
Committee. Approved rapid HIV tests must meet the regulations in the 21 CFR 800 series subparts, under the investigational device exemption, or IDE and
PMA pathways.

Premarket Approval Pathway

We manufacture, market and distribute three rapid HIV tests in the United States. Our HIV 1/2 STAT-PAK Assay, SURE CHECK HIV 1/2 Assay, and DPP
HIV 1/2 Assay all have received FDA PMA approval. A PMA application must be supported by extensive data including, but not limited to, analytical,
preclinical,  clinical  trials,  manufacturing,  statutory  preapproval  inspections,  and  labeling  to  demonstrate  to  the  FDA’s  satisfaction  the  safety  and
effectiveness of the device for its intended use. Before a PMA is submitted, a manufacturer must apply for an IDE. If the device presents a “significant
risk,” as defined by the FDA, to human health, the FDA requires the device sponsor to file an IDE application with the FDA and obtain IDE approval prior
to initiation of enrollment of human subjects for clinical trials. The IDE provides the manufacturer with a legal pathway to perform clinical trials on human
subjects where without the IDE, only approved medical devices may be used on human subjects.

The IDE application must be supported by appropriate data, such as analytical, animal and laboratory testing results, manufacturing information, and an
Investigational Review Board, or IRB approved protocol showing that it is safe to test the device in humans and that the testing protocol is scientifically
sound. If the clinical trial design is deemed to have “non-significant risk,” the clinical trial may be eligible for “abbreviated” IDE requirements. In some
instances,  clinical  trials  for  in  vitro  diagnostic  medical  devices  may  be  exempt  from  the  more  burdensome  IDE  requirements  if  certain  labeling
requirements are met.

A clinical trial may be suspended by either the FDA or the Investigational Review Board at any time for various reasons, including a belief that the risks to
the  study  participants  outweigh  the  benefits  of  participation  in  the  study.  Even  if  a  study  is  completed,  clinical  testing  results  may  not  demonstrate  the
safety and efficacy of the device, or they may be equivocal or otherwise insufficient to obtain approval of the product being tested. After the clinical trials
have been completed, if at all, and the clinical trial data and results are collected and organized, a manufacturer may complete a PMA application.

After  a  PMA  application  is  sufficiently  complete,  the  FDA  will  accept  the  application  and  begin  an  in-depth  review  of  the  submitted  information.  By
statute, the FDA has 180 days to review the “accepted application,” although, generally, review of the application can take between one and three years, but
it may take significantly longer. During this review period, the FDA may request additional information or clarification of information already provided.
Also, during the review period, an advisory panel of experts from outside the FDA may be convened to review and evaluate the application and provide
recommendations  to  the  FDA  as  to  the  approvability  of  the  device.  The  preapproval  inspections  conducted  by  the  FDA  include  an  evaluation  of  the
manufacturing  facility  to  ensure  compliance  with  the  FDA’s  quality  systems  regulations  or  QSR,  as  well  as  inspections  of  the  clinical  trial  sites  by  the
Bioresearch  Monitoring  group  to  evaluate  compliance  with  good  clinical  practice  and  human  subject  protections.  New  PMA  applications  or  PMA
supplements are required for modifications that affect the safety or effectiveness of the device, including, for example, certain types of modifications to the
device’s indication for use, manufacturing process, labeling and design. Significant changes to an approved PMA require a 180-day supplement, whereas
less substantive changes may utilize a 30-day notice, or a 135-day supplement. Premarket approval supplements often require submission of the same type
of information as a premarket approval application, except that the supplement is limited to information needed to support any changes from the device
covered by the original premarket approval application, and it may not require as extensive clinical data or the convening of an advisory panel.

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Our HIV 1/2 STAT-PAK Assay PMA application number BP050009/0 and our SURE CHECK 1/2 HIV Assay PMA application number BP050010/0 were
approved by the FDA in May 2006. Our DPP HIV 1/2 Assay PMA application number BP120032/0 was approved by the FDA in December 2012.  Our
DPP HIV Syphilis Assay PMA application number BP180191/0 was approved by the FDA in October 2020.

510(k) Clearance Pathway

We are currently developing products that either will or are likely to require an FDA 510(k) clearance. We anticipate submitting a 510(k) for each such
product  to  demonstrate  that  such  proposed  device  is  substantially  equivalent  to  a  previously  cleared  510(k)  device  or  a  device  that  was  in  commercial
distribution before May 28, 1976, for which the FDA has not yet called for the submission of a 510(k).  The FDA’s 510(k) clearance pathway usually takes
from  three  to  twelve  months  but  could  take  longer.  In  some  cases  the  FDA  may  require  additional  information,  including  clinical  data,  to  make  a
determination regarding substantial equivalence.

If a device receives 510(k) clearance, any modification that could significantly affect its safety or effectiveness, or that would constitute a new or major
change in its intended use, will require a new 510(k) clearance or, depending on the modification, a PMA. The FDA requires each device manufacturer to
determine whether the proposed change requires submission of a new 510(k) or a PMA, but the FDA can review any such decision and, if it disagrees with
the manufacturer’s determination, can require the manufacturer to cease marketing and/or recall the modified device until 510(k) clearance or PMA of the
modified device is obtained.

Clinical Laboratory Improvement Amendments of 1988

A manufacturer of a test categorized as moderately complex may request that categorization of the test be waived through a CLIA Waiver by Application,
or  CW,  submission  to  the  FDA.  When  a  test  is  categorized  as  waived,  it  may  be  performed  by  laboratories  with  a  Certificate  of  Waiver,  such  as  a
physician’s office outreach setting. In a CW submission, the manufacturer provides evidence to the FDA that a test meets the CLIA statutory criteria for
waiver CLIA, a walk-in clinic or an emergency room provides CMS authority over all laboratory testing, except research that is performed on humans in
the United States. The Division of Laboratory Services, within the Survey and Certification Group under the CMS, has the responsibility for implementing
the CLIA program.

The  CLIA  program  is  designed  to  establish  quality  laboratory  testing  by  ensuring  the  accuracy,  reliability  and  timeliness  of  patient  test  results.  Under
CLIA,  a  laboratory  is  a  facility  that  does  laboratory  testing  on  specimens  derived  from  humans  and  used  to  provide  information  for  the  diagnosis,
prevention or treatment of disease, or impairment of, or assessment of health. Under the CLIA program, unless waived, laboratories must be certified by the
government, satisfy governmental quality and personnel standards, undergo proficiency testing, be subject to inspections and pay fees. We have received a
CLIA waiver for all of our rapid diagnostic rapid HIV tests that we market in the United States. Specifically, the CLIA waiver was granted by the FDA for
HIV 1/2 STAT-PAK in November 2006,for SURE CHECK HIV 1/2 in October 2007, and for DPP HIV 1/2 in October 2014.

Emergency Use Authorizations (EUA)

A formal request to issue an EUA generally should not be submitted until the Secretary of HHS has issued an EUA declaration under section 564(b)(1). In
particular,  although  section  564  allows  FDA  to  issue  an  EUA  for  preparedness  purposes,  in  such  cases  the  HHS  Secretary  must  first  declare  that
circumstances  exist  justifying  such  an  authorization  in  advance  of  an  actual  emergency  based  on  a  formal  determination  of  a  significant  potential  for
emergency or a material threat determination. During the effective period of the HHS Secretary’s EUA declaration, FDA may authorize the introduction of
a medical product into interstate commerce when the product is intended for use during an actual or potential emergency. EUA candidate products include
medical products and uses that are not approved, cleared, or licensed under sections 505, 510(k), and 515 of the FD&C Act or section 351 of the PHS Act.

After the requisite determination and declaration have been issued, and after feasible and appropriate consultations, FDA may issue an EUA only if FDA
concludes  that  the  following  four  statutory  criteria  for  issuance  have  been  met  for  1)  Serious  or  Life-Threatening  Disease  or  conditions,  2)  evidence  of
effectiveness, 2) Risk –Benefit Analysis, 4) No Alternatives.  A sponsor seeking an EUA can submit its formal request in the form of an EUA submission,
which includes data for clinical studies, non-clinical laboratory studies to assess the safety and effectiveness of the product as well as the discussion of
Risks and Benefits of the product.

FDA will specify the effective date of an EUA issued under section 564. In general, an EUA will remain in effect for the duration of the EUA declaration
under which it was issued which describes termination of an EUA declaration and its impact on existing EUAs.

Pervasive and Continuing FDA Regulation

A host of regulatory requirements apply to our approved devices, including: the quality system regulation, which requires manufacturers to follow elaborate
design, testing, control, documentation and other quality assurance procedures; the Medical Reporting Regulations, which require manufacturers to report
to the FDA specified types of adverse events involving their products; labeling regulations; and the FDA’s general prohibition against promoting products
for unapproved or “off-label” uses. Some Class II devices are subject to special controls-such as performance standards, post-market surveillance, patient
registries, and FDA guidelines-that do not apply to Class I devices.

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The regulatory requirements that apply to our approved products classified as medical devices include:

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product listing and establishment registration, which helps facilitate FDA inspections and other regulatory action;
QSR, which require manufacturers, including third-party manufacturers, to follow stringent design, testing, control, documentation and other
quality assurance procedures during all aspects of the development and manufacturing process;
labeling regulations and FDA prohibitions against the promotion of products for uncleared, unapproved or off-label use or indication;
clearance of product modifications that could significantly affect safety or efficacy or that would constitute a major change in intended use of
one of our cleared devices;
approval of product modifications that affect the safety or effectiveness of one of our cleared devices;
medical device reporting regulations, which require that manufacturers comply with FDA requirements to report if their device may have caused
or contributed to a death or serious injury, or has malfunctioned in a way that would likely cause or contribute to a death or serious injury if the
malfunction of the device or a similar device were to recur;
post-approval restrictions or conditions, including post-approval study commitments;
post-market surveillance regulations, which apply when necessary to protect the public health or to provide additional safety and effectiveness
data for the device;
the FDA’s recall authority, whereby it can ask, or under certain conditions order, device manufacturers to recall from the market a product that is
in violation of governing laws and regulations;
regulations pertaining to voluntary recalls; and,
notices of corrections or removals.

Our Medford, New York facility is currently registered as an establishment with the FDA. We and any third-party manufacturers are subject to announced
and unannounced inspections by the FDA to determine our compliance with QSR and other regulations.

21st Century Cures Act

The 21st Century Cures Act, enacted in December 2016, contains several sections specific to medical device innovations. We believe that implementation
of the 21st Century Cures Act may have a positive impact on its businesses by facilitating innovation and/or reducing the regulatory burden imposed on
medical device manufacturers.

Government Regulation of Medical Devices for Animal Subjects

We currently offer two veterinary devices in the United States: DPP VetTB Assay for Cervids and DPP VetTB Assay for Elephants. Diagnostic tests for
animal health infectious diseases, including our veterinary devices for the prevention and/or treatment of animal disease, are regulated in the U.S. by the
Center for Veterinary Biologics within the U.S. Department of Agriculture Animal and Plant Health Inspection Service, or APHIS, under the Virus, Serum,
and Toxin Act of 1913. As a requirement, our veterinary devices were approved by APHIS before they could be sold in the U.S.

The  APHIS  regulatory  approval  process  involves  the  submission  of  product  performance  data  and  manufacturing  documentation.  Following  regulatory
approval to market a product, APHIS requires that each lot of product be submitted for review before release to customers. In addition, APHIS requires
special approval to market products where test results are used in part for government-mandated disease management programs.

Environmental Laws

We  believe  that  we  are  in  compliance  in  all  material  respects  with  all  foreign,  federal,  state,  and  local  environmental  regulations  applicable  to  our
manufacturing facilities. The cost of ongoing compliance with such regulations does not have a material effect on our operations.

Intellectual Property

Intellectual Property Strategy

Our  intellectual  property  strategy  is  to:    (1)  build  our  own  intellectual  property  portfolio  around  our  DPP  technology  and  optical  analyzers;  (2)  pursue
licenses, trade secrets and know-how within the area of rapid point-of-care testing; and, (3) develop and acquire proprietary positions to certain reagents.

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DPP Intellectual Property

We have obtained patent coverage on our DPP technology, including numerous patents in the United States, and one or more patents in Australia, Brazil,
Canada, China, Columbia, Eurasia (Russia), European Union (fourteen European countries),Hong Kong, Israel, India, Indonesia, Japan, Korea, Malaysia,
Mexico, Poland, Singapore, South Africa, Thailand, and the United Kingdom .  Additional patent applications on our DPP technology are pending in the
United States, as well as in  foreign countries such as Australia, Brazil, Canada, China, the European Union, India, Indonesia, Malaysia, Mexico, Peru,
Singapore and Thailand.

DPP technology provides us with freedom to operate and enables us to develop tests with better performance and capabilities compared with tests built on
traditional lateral flow platforms.  These advantages have allowed us to enter into multiple technology collaborations based upon DPP technology, which
we believe will provide new manufacturing and marketing opportunities. We have filed additional patent applications that we believe will strengthen the
DPP intellectual property and have also filed for patent protection for certain other point-of-care technologies or applications thereof.

We have also obtained patent coverage on our optical-based analyzer technology in the United States as well as in several EU countries.

Trademarks

We have filed and obtained trademarks for our company name CHEMBIO and CHEMBIO DIAGNOSTIC SYSTEMS, INC. as well as for many of our
products,  including  DPP,  SURE  CHECK,  STAT-VIEW,  STAT-PAK,  and  NEXT  GENERATION  DPP,  as  well  as  for  the  SampleTainer  and  DPP  Micro
Reader, which are used with certain DPP products.  Our trademarks have been registered in the United States and certain other countries around the world.

Trade Secrets and Know-How

We  have  developed  a  substantial  body  of  trade  secrets  and  know-how  relating  to  the  development  and  manufacture  of  lateral  flow  and  DPP-based
diagnostic  tests,  including  the  sourcing  and  optimization  of  materials  for  such  tests,  and  methods  to  maximize  sensitivity,  speed-to-result,  specificity,
stability  and  reproducibility  of  our  tests.    We  possess  proprietary  know-how  to  develop  tests  for  multiple  conditions  using  colored  particles.    Our
formulations enable long shelf lives of our rapid HIV and other tests, providing us with an important competitive advantage.

Rapid Diagnostic Technology and Reagent Licenses

We seek licenses and/or redesigns of products that we believe to be in our best interests.  Because of the costs and other negative consequences of time-
consuming patent litigation, we often attempt to obtain a license on reasonable terms.

The peptides used in our rapid HIV tests were licensed to us by one or more third parties. We also have licensed the antigens used in other tests including
our Syphilis, Tuberculosis, Leptospirosis, Leishmaniasis and Chagas tests, and we may enter into other license agreements.  In prior years, we concluded
license agreements related to intellectual property rights owned by the United States associated with HIV-1 and a sub-license agreement for HIV-2 with
Bio-Rad Laboratories N.A., the exclusive licensee of the Pasteur Institute’s HIV-2 intellectual property estate.

Available Information

We are required to file annual, quarterly and current reports, proxy statements and other information with the U.S. Securities and Exchange Commission.
The  SEC  maintains  a  website  at  www.sec.gov  that  contains  reports,  proxy  and  information  statements,  and  other  information  regarding  issuers  that  file
electronically with the SEC.

Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, proxy statements and amendments to those documents
filed  or  furnished  pursuant  to  Section  13(a)  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  are  also  available  free  of  charge  on  our  website  at
www.chembio.com as soon as reasonably practicable after such reports are electronically filed with or furnished to the SEC.

Investors  should  note  that  we  currently  announce  material  information  to  our  investors  and  others  using  filings  with  the  SEC,  press  releases,  public
conference calls, webcasts or our website (www.chembio.com), including news and announcements regarding our financial performance, key personnel,
our brands and our business strategy. Information that we post on our corporate website could be deemed material to investors. We encourage investors to
review the information we post on these channels. We may from time to time update the list of channels we will use to communicate information that could
be  deemed  material  and  will  post  information  about  any  such  change  on  www.chembio.com.  The  information  on  our  website  is  not,  and  shall  not  be
deemed to be, a part hereof or incorporated into this or any of our other filings with the SEC.

Corporate Information

Our  principal  executive  offices  are  located  at  555  Wireless  Boulevard,  Hauppauge,  New  York  11788.  Our  telephone  number  is  (631)  924-1135.  Our
website address is www.chembio.com. The information contained in, or accessible through, our corporate website does not constitute part of this report.

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ITEM 1A.

RISK FACTORS

You should carefully consider each of the following risk factors and all of the other information provided in this Form 10 K in considering whether to make
or continue to hold an investment in our Common Stock. The risks described below are those we currently believe may materially affect us. An investment
in our Company involves a high degree of risk, and should be considered only by persons who can afford the loss of their entire investment. Although we
believe that these risks are the most important for you to consider, you should read this section in conjunction with our financial statements, the notes to
those financial statements and our management’s discussion and analysis of financial condition and results of operations included in our periodic reports
and incorporated into this Form 10 K by reference.

RISK FACTORS SUMMARY

Our  business  is  subject  to  a  number  of  risks,  including  risks  that  may  prevent  us  from  achieving  our  business  objectives  or  may  adversely  affect  our
business, financial condition, results of operations, cash flows and prospects. The risks are discussed more fully below and include, but are not limited to,
the risks summarized below.

Risks Related to Our Business and Our Industry

● the refocus of our business strategy to respond to COVID‑19, including the successful development and market acceptance of the DPP SARS-
CoV-2 IgM/IgG System, the DPP SARS CoV 2 Antigen System and the DPP Respiratory Antigen Panel, which we refer to as the COVID-19
Diagnostic Test Systems;

● our allocation of substantially all of our resources to the development and production of COVID-19 Diagnostic Test Systems;
● the effects of existing or future shareholder litigation;
● our competitors developing more effective or successful products;
● the ability of our products to compete with the new or existing products of our competitors;
● the negative impact of healthcare industry consolidation on our future revenues and operating results;
● our ability to retain key employees and attract additional qualified personnel;
● third‑party reimbursement policies; and
● the vulnerability of our business to cyber‑attacks.

Risks Related to Our Products

● the COVID-19 Diagnostic Test Systems not gaining wide industry acceptance;
● the impact of COVID‑19 mutations on the ability of the COVID-19 Diagnostic Test Systems adequately detecting COVID‑19 or SARS‑CoV‑2

antigens;

● our ability to successfully introduce and market our products, particularly the COVID-19 Diagnostic Test Systems;
● timely receipt and implementation of additional customized manufacturing automation equipment;
● variability and unpredictability due to lengthy sales cycles for our products;
● our customers not adopting rapid point‑of‑care diagnostic testing;
● the concentration of our customers; and
● our products not performing properly.

Financial, Economic and Financing Risks

● our incurrence of losses in recent years and uncertainty about our future profitability;
● the fluctuation of our financial results;
● our compliance with the terms of our Credit Agreement and Guaranty;
● our ability to generate sufficient cash to service our debt;
● increased interest expenses due to changes in LIBOR;
● the negative impact of changes in foreign currency exchange rates on our operating results; and
● basing our estimates or judgments relate to critical accounting policies on assumptions that can change or prove to be   incorrect.

Risks Related to Intellectual Property

● our ability to protect our proprietary technology; and
● the effect of future intellectual property disputes on our ability to sell products or use certain technologies.

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Risks Related to Our Third Party Collaborators

● our dependence on a limited number of third‑party suppliers, including single source suppliers, for critical components and materials;
● the limitation on rights we receive from collaborations with strategic collaborators, and the exposure to risks outside of our control due to such

collaborations;

● our ability to maintain existing distribution channels or develop new distribution channels; and
● our compliance with U.S. government contracts.

Risks Related to Regulations

● the impact of changes in CLIA, FDA, ANVISA, and other regulatory changes, on COVID‑19 diagnostic tests;
● our ability to receive and maintain necessary regulatory approvals for our products, particularly the COVID-19 Diagnostic Test Systems;
● the impact of governmental export controls on our ability to compete in international markets;
● our ability to comply with FDA and other regulatory requirements, particularly with respect to the COVID-19 Diagnostic Test Systems;
● our ability to respond to changes in regulatory requirements;
● the effect of FDA regulation of laboratory‑developed tests and genetic testing on demand for our products;
● disruptions  at  the  FDA  and  other  government  agencies  affecting  the  ability  of  the  FDA  to  hire,  retain  or  deploy  key  leadership  or  personal  or

otherwise could prevent new and modified products from being developed, cleared, approved, authorized or commercialized;

● ongoing changes in healthcare regulation;
● a reduction or elimination in the types of government awards that partially support some of our programs;
● compliance with privacy, security and breach notification regulations;
● our ability to manufacture products in accordance with applicable requirements;
● the effect of healthcare fraud and abuse laws on our business; and
● increased exposure to regulatory, cultural and other challenges due to international expansion.

Risks Related to Ownership of Common Stock

● the limited liquidity of our Common Stock;
● the volatility of the price of our Common Stock;
● the effect of future issuances of Common Stock on the price of our Common Stock and our ability to raise funds in new equity offerings;
● the control management and larger stockholders exercise over us; and
● the depression of the market price of our common stock due to sale by existing stockholders, executive officers or directors.

General Risk Factors

● our ability to successfully generate the expected benefits of our acquisitions; and
● developments related to the U.K.’s referendum on membership in the E.U.; and
● legislative and regulatory changes.

RISK FACTORS

Risks Related to Our Business and Our Industry

We have refocused our business strategy to respond to COVID‑19, which is a new and rapidly developing market, making it difficult to evaluate our
business and future prospects.

The market for COVID‑19 diagnostic testing is new and rapidly developing, which makes it difficult to evaluate our business and future prospects. We
have encountered, and will continue to encounter, risks and difficulties frequently experienced in rapidly changing industries, including those related to:

● our ability to compete with companies that are currently in, or may in the future enter, the market for our products;
● our ability to control costs, including our operating expenses;
● our ability to successfully expand our business;
● our ability to meet customer demand;
● the amount and timing of operating expenses, particularly sales and manufacturing expenses, related to the maintenance and   expansion of our

business, operations and infrastructure; and

● general economic and political conditions in our markets.

Given the unpredictable nature of the COVID‑19 pandemic, the potential size of this market and the timing of its development remains highly uncertain.
Our future success is dependent on the manner in which the market for COVID‑19 diagnostics develops. If the market develops in a manner that does not
facilitate the inclusion of our products, or fails to grow in the manner in which we expect, our business may not continue to grow.

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We are allocating substantially all of our resources to the development and production of COVID‑19 Test Systems for the foreseeable future, and our
long‑term  business  success  could  be  negatively  impacted  by  our  diversion  of  resources  from  our  legacy  business  of  diagnostic  testing  for  other
infectious diseases.

We  are  committing  substantially  all  of  our  financial  and  personnel  resources  to  the  development,  manufacturing  and  commercialization  of  COVID-19
Diagnostic Test Systems. This resource allocation may negatively impact our legacy product portfolio, as we expect to spend limited funds and time on
updating pre‑existing products and regulatory approvals or on completing products that were in development prior to our strategic decision to focus on
COVID-19 Diagnostic Test Systems. Our business could be negatively impacted by our allocation of significant resources to a global health threat that is
unpredictable and could dissipate; there is no guarantee that current or anticipated demand will continue, or if demand does continue, that we will be able to
produce in quantities to meet the demand. We intend to reestablish our legacy business in the future, but there can be no assurance that we will be able to
successfully recommence the development and commercialization of our legacy products and products under development.

Our near‑term success is highly dependent on the success of the COVID-19 Diagnostic Test Systems, and we cannot be certain that we will succeed in
developing one or more of those systems or that, if we do, they will attain market acceptance or be successfully commercialized in the United States or
elsewhere.

We do not currently have an Emergency Use Authorization, or EUA, from the U.S. Food and Drug Administration, or FDA, for any of the COVID-19
Diagnostic Test Systems, and we do not currently have an application pending for any such EUA. Moreover, market and regulatory requirements continue
to  change  at  a  rapid  pace.  The  FDA  has  declined  to  review  certain  of  our  COVID-19  Diagnostic  Test  Systems  based  on  then-effective  prioritization
guidance, which is subject to change. There can be no assurance that, if we are to make a submission of any future EUA application, we will meet the
requirements of the prioritization guidance in effect at the time of the submission or otherwise be successful in obtaining an EUA that would permit us to
offer and sell any COVID-19 Diagnostic Test System in the United States.

Even if we are able to obtain an EUA for any of the COVID-19 Diagnostic Test Systems, including our revised DPP SARS-CoV-2 IgM/IgG System and
DPP SARS-CoV-2 Antigen System  that  product  may  not  gain  broad  market  acceptance  among  physicians,  healthcare  payers,  patients,  and  the  medical
community. We have conducted our own research into the markets for our product candidates, including the COVID-19 Diagnostic Test Systems; however,
we cannot guarantee market acceptance of our product, and have somewhat limited information on which to estimate our anticipated level of sales. Our
products will require healthcare providers and doctors to accept and adopt our technology. Our industry is susceptible to rapid technological developments
and there can be no assurance that we will be able to match any new technological advances. If we are unable to match the technological changes in the
needs of our customers the demand for our products will be reduced. Acceptance and use of any products we market will depend upon a number of factors
including:

● perceptions by members of the health care community, including physicians, about the safety and effectiveness of our products;
● limitation on use or warnings required by FDA in our product labeling;
● cost‑effectiveness of our products relative to competing products;
● convenience and ease of administration;
● potential advantages of alternative treatment methods;
● availability of reimbursement for our products from government or other healthcare payers; and
● effectiveness of marketing and distribution efforts by us and our licensees and distributors, if any.

Because  we  expect  virtually  all  of  our  product  revenues  for  the  foreseeable  future  to  be  generated  from  sales  of  our  current  products  and  COVID-19
Diagnostic Test Systems in particular, the failure of these products to find market acceptance would substantially harm our business and would adversely
affect our revenue. If the COVID-19 Diagnostic Test Systems are not as successfully commercialized as expected, we may not be able to generate sufficient
revenue to become profitable. Any failure of either of the COVID‑19 Diagnostic Test Systems to be successfully commercialized in the United States may
have a material adverse effect on our business, operating result financial condition and cash flows, and could result in a substantial decline in the price of
our common stock.

The diagnostic testing market, particularly with respect to COVID‑19, is highly competitive, and many of our competitors are larger, better established
and have greater technical and marketing capabilities and financial and other resources than we have.

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The diagnostics market, particularly with respect to COVID‑19 diagnostic tests, is highly competitive and we face substantial competition based on factors
such  as  product  quality,  analytical  performance,  ease  of  use,  price,  customer  service  and  reputation.  Industry  competition  is  also  based  the  following
additional factors:

● patent protection;
● scientific expertise;
● ability to develop and market products and processes;
● ability to obtain required regulatory approvals;
● ability to manufacture cost‑effective products that meet applicable regulatory requirements;
● access to adequate capital; and
● ability to attract and retain qualified personnel.

Numerous companies in the United States and internationally have announced their intention to offer new products, services and technologies that could be
used in substitution for the COVID-19 Diagnostic Test Systems. Many of those competitors are significantly larger, and have substantially greater financial,
engineering and other resources, than us. In addition, our competitors may have or may develop products or technologies that currently or in the future will
enable them to produce competitive products with greater capabilities or at lower costs than ours. If we are unable to compete effectively, we may fail to
meet  our  strategic  objectives,  and  our  business,  financial  condition  and  operating  results  could  be  harmed.  In addition, the production of an efficacious
vaccine or other treatment for COVID‑19 may reduce the demand for diagnostic products. The success or failure, or perceived success or failure, of other
companies may adversely impact our ability to obtain any future funding, or to ultimately commercialize the COVID-19 Diagnostic Test Systems.

Shareholder litigation could negatively impact our business, operating results and financial condition.

We may incur additional costs in connection with the defense or settlement of existing and any future shareholder litigation, including four shareholder
lawsuits to date that have been brought against us. See Part I, Item 3. “Legal Proceedings” below for additional information regarding these lawsuits. These
lawsuits or other future litigation may adversely affect the ability of our technical and management personnel, and our directors, to perform their normal
responsibilities.  We  could  incur  significant  costs  in  connection  with  any  such  litigation  lawsuits,  including  costs  associated  with  the  indemnification  of
obligations to our directors.

We expect competition to with respect to testing solutions for COVID‑19 to continue to increase and our success will depend on widespread market
acceptance of our products.

We expect competition to continue to increase as other established and emerging companies enter the market, as customer requirements evolve, and as new
products, services and technologies are introduced. The entrance of new competitors is being encouraged by governmental authorities, which are offering
funding to support development of testing solutions for COVID‑19. Some of our existing or new competitors may have strong relationships with current
and  potential  customers,  including  governmental  authorities,  and,  as  a  result,  may  be  able  to  respond  more  quickly  to  new  or  changing  regulatory
requirements,  new  or  emerging  technologies,  and  changes  in  customer  requirements.  Our  products  may  not  compete  favorably,  and  we  may  not  be
successful in the face of increasing competition from new products and technologies introduced by our existing competitors or new companies entering our
markets. Any failure to compete effectively could materially and adversely affect our business, financial condition and operating results.

The COVID‑19 pandemic could affect our suppliers and employees, and cause disruptions in current and future plans for operations and expansion.

The COVID‑19 pandemic may directly and indirectly adversely impact our business, financial condition and operating results. The extent to which this will
continue will depend on numerous evolving factors that are highly uncertain, rapidly changing and cannot be predicted with precision or certainty at this
time.

Our business may be disrupted due to the costs incurred as a result of additional necessary actions and preparedness plans to help ensure the health and
safety of our employees and continued operations, including enhanced cleaning processes, protocols designed to implement appropriate social distancing
practices, and/or adoption of additional wage and benefit programs to assist employees. We may also have difficulty meeting demand for our products if
our employees are affected by COVID‑19, or if we do not have adequate space to produce our product with social distancing practices implemented. We
also cannot predict the effect of COVID‑19 pandemic on our supply chain’s reliability and costs,

In  addition,  our  business  and  operations,  and  the  operations  of  our  suppliers,  may  be  adversely  affected  by  the  COVID‑19  pandemic.  The  pandemic,
including the related response, could cause disruptions due to potential suspension or slowdown of activities at our third‑party suppliers, or increased prices
implemented by our suppliers. The adverse effect on our employees or suppliers could have an adverse impact on our business, results of operations and
financial condition.

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We operate in a fragmented, segmented, and rapidly changing industry, which is highly competitive with respect to numerous factors, and our success
depends on our ability compete effectively with larger companies, develop new or enhance existing products, as well as acceptance of DPP over more
traditional diagnostic platform technologies.

Important competitive factors for our products include price, quality, performance, ease of use, and customer service. A few large corporations produce a
wide variety of diagnostic tests and other medical devices and equipment. A larger number of mid‑size companies generally compete only in the diagnostic
industry and a significant number of small companies produce only a few diagnostic products. As a result, the diagnostic test industry is highly fragmented
and segmented.

More  generally,  the  point‑of‑care  diagnostics  industry  is  undergoing  rapid  technological  changes,  with  frequent  introductions  of  new  technology‑driven
products and services. As new technologies become introduced into the point‑of‑care diagnostic testing market, we may be required to commit considerable
additional efforts, time and resources to enhance our current product portfolio or develop new products. We may not have the available time and resources
to accomplish this, and many of our competitors have substantially greater financial and other resources to invest in technological improvements. We may
not  be  able  to  effectively  implement  new  technology‑driven  products  and  services  or  be  successful  in  marketing  these  products  and  services  to  our
customers, which would materially harm our operating results.

Although we own DPP patents, lateral flow technology is still a competitive platform to DPP, and lateral flow technology has a lower cost of manufacture
than  DPP  products.  Although  the  DPP  platform  has  shown  improved  sensitivity  as  compared  with  conventional  lateral  flow  platforms  in  a  number  of
studies, several factors go into the development and performance attributes of products. Therefore the ability of our products to successfully compete will
depend on several other factors, including our having a patented rapid test platform technology that differentiates DPP from lateral flow as well as from
other diagnostic platform technologies.

There can be no assurance that our DPP patents or our products incorporating those patents will not be challenged at some time in the future.

Our competitors may develop and commercialize more effective or successful products, and our research, development and commercialization efforts
may not succeed.

We  regularly  commit  substantial  resources  to  research  and  development  and  the  commercialization  of  our  new  or  enhanced  products.  The  research  and
development process usually takes a long time from inception to commercial launch. During each stage of this process there is a substantial risk that we
will not achieve our goals in a timely fashion, or at all, and we may have to abandon a new or enhanced product in which we have invested substantial time
and money. We expect to continue to incur significant costs related to our research and development activities.

Our  products  require  significant  development  and  investment  prior  to  commercialization,  including  testing  to  demonstrate  the  products’  performance
capabilities, cost‑effectiveness or other benefits. We must obtain regulatory approval before most products may be sold and additional development efforts
on these products may be required before the products will be reviewed. However, regulatory authorities may not approve these products for commercial
sale or may substantially delay or condition such approval. There may be little or no market for the product and entry into or development of new markets
for our products may require an investment of substantial resources even if all applicable regulatory approvals are obtained. Furthermore, we may spend a
significant amount of money on advertising or other activities and still fail to develop a market for the product. The success of our efforts may be affected
by  our  ability  to  manufacture  products  in  a  cost‑effective  manner,  whether  we  can  obtain  necessary  intellectual  property  rights  and  protection  and  our
ability  to  obtain  reimbursement  authorizations  in  the  markets  where  the  product  will  be  sold.  Therefore,  if  we  fail  to  develop  and  gain  commercial
acceptance for our products, or if competitors develop more effective products or a greater number of successful new products, customers may decide not
to purchase our products.

Our products may not be able to compete with new diagnostic products or existing products developed by well‑established competitors, which would
negatively affect our business.

The  diagnostic  industry  is  focused  on  the  testing  of  biological  specimens  in  a  laboratory  or  at  the  point‑of‑care  and  is  highly  competitive  and  rapidly
changing. Important competitive factors for our products include price, quality, performance, ease of use, and customer service.

A  few  large  corporations  produce  a  wide  variety  of  diagnostic  tests  and  other  medical  devices  and  equipment.  A  larger  number  of  mid‑size  companies
generally compete only in the diagnostic industry and a significant number of small companies produce only a few diagnostic products. As a result, the
diagnostic test industry is highly fragmented and segmented.

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Some  of  our  principal  competitors  may  have  considerably  greater  financial,  technical  and  marketing  resources  than  we  do.  Several  companies  produce
diagnostic tests that compete directly with our testing product line, including Abbott (Alere), OraSure Technologies and Trinity Biotech. Some competitors
offer broader product lines and may have greater name recognition than we have. These and other companies have or may have products incorporating
molecular or other advanced technologies that over time could directly compete with our testing product line. We also face competition from certain of our
distributors or former customers that have created or may decide to create, their own products to compete with ours.

As new products incorporating new technologies enter the market, our products may become obsolete or a competitor’s products may be more effective or
more effectively marketed and sold. If our competitors’ products take market share from our products through more effective marketing or competitive
pricing,  our  revenues,  margins  and  operating  results  could  be  adversely  affected.  In  addition,  our  revenues  and  operating  results  could  be  negatively
impacted if some of our customers internally develop or acquire their own sample collection devices and use those devices in place of our products in order
to reduce costs.

Our future revenues and operating results may be negatively affected by ongoing consolidation in the healthcare industry.

There  has  been  a  significant  amount  of  consolidation  in  the  healthcare  industry.  This  consolidation  has  increased  the  competition  to  provide  goods  and
services to customers. In addition, group purchasing organizations and integrated health delivery networks have served to concentrate purchasing decisions
for some customers, which has also placed pricing pressure on medical device suppliers. Due to ongoing consolidation, there could be additional pressure
on the prices of our products.

Our continued growth depends on retaining our current key employees and attracting additional qualified personnel, and we may not be able to do so.

Our success depends to a large extent upon the skills and experience of our executive officers, sales, marketing, operations and scientific staff. We may not
be able to attract or retain qualified employees due to the intense competition for qualified personnel among medical products businesses and academic and
other research institutions, as well as to geographic considerations, our ability to offer competitive compensation and benefits, and other reasons.

If we are not able to attract and retain the necessary qualified personnel to accomplish our business objectives, we may experience constraints that will
adversely affect our ability to effectively manufacture, sell and market our products to meet the demands of our customers and strategic partners in a timely
fashion, or to support internal research and development programs.

We have entered into employment contracts with our Chief Executive Officer, Richard Eberly, our Chief Science & Technology Officer, Javan Esfandiari,
and our Chief Financial Officer, Neil Goldman. Due to the specific knowledge and experience of these executives regarding the industry, technology and
market generally and to our company specifically, the loss of the services of any one of these executives could have a material adverse effect on us. We
have not obtained a key man insurance policy on any officer other than Mr. Esfandiari.

We  may  not  generate  the  expected  benefits  of  our  acquisitions  of  opTricon  GmbH  or  Orangelife  Comercio  e  Industria  Ltda.  and  the  ongoing
integration of the acquisitions could disrupt our ongoing business, distract our management and increase our expenses.

We acquired opTricon GmbH, or opTricon, and Orangelife Comercio e Industria Ltda., or Orangelife, in November 2018 and November 2019, respectively,
with the expectation that the acquisition will result in various benefits, including securing global commercial rights and reducing cost of goods. Achieving
the  anticipated  benefits  of  either  acquisition  is  subject  to  a  number  of  uncertainties,  including  whether  our  business  and  the  businesses  of  opTricon  or
Orangelife  can  be  integrated  in  an  efficient  and  effective  manner.  We  cannot  assure  you  that  we  will  be  able  to  accurately  forecast  the  performance  or
ultimate impact of either the opTricon acquisition or the Orangelife acquisition.

The  integration  processes  may  take  longer  than  anticipated  and  result  in  the  loss  of  valuable  employees,  the  incurrence  of  additional  and  unforeseen
expenses,  the  disruption  of  our  ongoing  business,  processes  and  systems,  or  inconsistencies  in  standards,  controls,  procedures,  practices,  policies  and
compensation arrangements, any of which could adversely affect our ability to achieve the anticipated benefits of the acquisitions. There may be increased
risk due to integrating financial reporting and internal control systems. The integration processes are subject to a number of uncertainties, and no assurance
can be given that the anticipated benefits, expense savings and synergies will be realized or, if realized, the timing of their realization. Failure to achieve
these anticipated benefits could result in increased costs or decreases in the amount of expected revenues and could adversely affect our future business,
financial condition, operating results and prospects.

We have incurred and will continue to incur non‑recurring expenses in connection with the opTricon acquisition and the Orangelife acquisition, including
legal,  accounting  and  other  expenses.  Additional  unanticipated  costs  may  be  incurred  following  consummation  of  the  opTricon  acquisition  or  the
Orangelife acquisition in the course of the integration of the respective businesses into our business. We cannot be certain that the realization of efficiencies
related to the integration of the two businesses will offset the transaction and integration costs in the near term, or at all, or any losses from undiscovered
liabilities not covered by an indemnification from the sellers of opTricon or Orangelife.

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Third‑party reimbursement policies and potential cost constraints could negatively affect our business.

The  potential  end‑users  of  our  products  include  hospitals,  physicians  and  other  healthcare  providers.  If  these  end‑users  do  not  receive  adequate
reimbursement  for  the  cost  of  our  products  from  their  patients’  healthcare  insurers  or  payors,  the  use  of  our  products  could  be  negatively  impacted.
Furthermore,  the  net  sales  of  our  products  could  also  be  adversely  affected  by  changes  in  reimbursement  policies  of  government  or  private  healthcare
payors.

Hospitals, physicians and other healthcare providers who purchase diagnostic products in the United States generally rely on third‑party payors, such as
private health insurance plans, Medicare and Medicaid, to reimburse all or part of the cost of the product. Due to the overall escalating cost of medical
products and services, especially in light of the COVID‑19 outbreak and its straining of healthcare systems across the globe, there is increased pressure on
the healthcare industry, both foreign and domestic, to reduce the cost of products and services. Given the efforts to control and reduce healthcare costs in
the United States, available levels of reimbursement may change for our existing products or products under development. Third‑party reimbursement and
coverage may not be available or adequate in either the United States or international markets, current reimbursement amounts may be decreased in the
future and future legislation, and regulation or reimbursement policies of third‑party payors, may reduce the demand for our products or our ability to sell
our products on a profitable basis.

To the extent that we are unable to collect our outstanding accounts receivable, our operating results could be materially harmed.

There may be circumstances and timing that require us to accept payment terms, including delayed payment terms, from distributors or customers, which, if
not satisfied, could cause financial losses.

We generally accept payment terms which require us to ship product before the contract price has been paid fully, and there also are circumstances pursuant
to which we may accept further delayed payment terms pursuant to which we may continue to deliver product. To the extent that these circumstances result
in significant accounts receivables and those accounts receivables are not paid on a timely basis, or are not paid at all, especially if concentrated in one or
two customers, we could suffer financial losses.

We believe our success depends in part on the continued funding of, and our ability to participate in, large testing programs in the U.S. And worldwide,
the funding of which may be reduced or discontinued or otherwise be unavailable to us.

We believe it to be in our best interests to meaningfully participate in large testing programs. Moreover many of these programs are funded by governments
and other donors, and there can be no assurance that funding will not be reduced or completely discontinued. Participation in these programs also requires
alignment and engagement with the many other participants in these programs, including WHO, CDC, the U.S. Agency for International Development,
foreign governments and their agencies, non‑governmental organizations, and HIV service organizations. If we are unsuccessful in our efforts to participate
in these programs, our operating results could be materially harmed.

In December 2013 President Obama signed into law the PEPFAR Stewardship and Oversight Act, which is the most recent reauthorization of PEPFAR.
However, unlike the 2008 PEPFAR authorization, which authorized approximately $45 billion in funding, the new law did not authorize a specific dollar
amount for funding.

Developing testing guidelines could negatively affect sales of our products.

Government agencies may issue diagnostic testing guidelines or recommendations, which can alter the usage of our HIV testing products. New laws or
guidelines, or changes to existing laws or guidelines, and the manner in which these new or changed laws and guidelines are interpreted and applied, could
impact  the  degree  to  which  our  testing  products  are  used.  These  developments  could  affect  the  frequency  of  testing,  the  number  of  people  tested  and
whether the testing products are used broadly for screening large populations or in a more limited capacity. These factors could in turn affect the level of
sales of our products and our results of operations.

Some of our programs are partially supported by government grant awards, which may not be available to us in the future.

We  have  received  funding  under  grant  award  programs  funded  by  governmental  agencies  such  as  NIDA  and  BARDA.  To  fund  a  portion  of  our  future
research and development programs, we may apply for additional grant funding from these or similar governmental agencies. However, funding by these
governmental  agencies  may  be  significantly  reduced  or  eliminated  in  the  future  for  a  number  of  reasons.  For  example,  some  programs  are  subject  to  a
yearly appropriations process in Congress. In addition, we may not receive full funding under current or future grants because of budgeting constraints of
the agency administering the program or unsatisfactory progress on the study being funded. Therefore, we cannot assure you that we will receive any future
grant funding from any government agencies, or, that if received, we will receive the full amount of the particular grant award. Any such reductions could
delay the development of our product candidates and the introduction of new products.

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We could be exposed to liability if we experience security breaches or other disruptions, which could harm our reputation and business.

We may be subject to cyber‑attacks whereby computer hackers may attempt to access our computer systems or our third party IT service provider’s systems
and, if successful, misappropriate personal or confidential information, particularly if we gain recognition in our industry. In addition, a contractor or other
third party with whom we do business may attempt to circumvent our security measures or obtain such information, and may purposefully or inadvertently
cause a breach involving sensitive information. We will continue to evaluate and implement additional protective measures to reduce the risk and detect
cyber incidents, but cyber‑attacks are becoming more sophisticated and frequent and the techniques used in such attacks change rapidly. Even though we
take cyber‑security measures that are continuously reviewed and updated, our information technology networks and infrastructure may still be vulnerable
due to sophisticated attacks by hackers or breaches.

Even  the  most  well  protected  IT  networks,  systems,  and  facilities  remain  potentially  vulnerable  because  the  techniques  used  in  security  breaches  are
continually evolving and generally are not recognized until launched against a target and, in fact, may not be detected. Any such compromise of our or our
third party’s IT service providers’ data security and access, public disclosure, or loss of personal or confidential business information, could result in legal
claims  proceedings,  liability  under  laws  to  protect,  privacy  of  personal  information,  and  regulatory  penalties,  disrupt  our  operations,  require  significant
management attention and resources to remedy any damages that result, damage our reputation and customers willingness to transact business with us, any
of which could adversely affect our business.

Our  ability  to  efficiently  operate  our  business  is  reliant  on  information  technology,  and  any  material  failure,  inadequacy,  interruption  or  security
breach of that technology could harm our business.

We rely heavily on complex information technology systems across our operations and on the internet, including for management of inventory, invoices,
purchase orders, shipping, interactions with our third‑party logistics provider, revenue and expense accounting, consumer call support, online business, and
various other processes and transactions. Our ability to effectively manage our business, coordinate the production, distribution and sale of our products,
respond to customer inquiries, and ensure the timely and accurate recording and disclosure of financial information depends significantly on the reliability
and capacity of these systems and the internet.

If any of the foregoing systems fails to operate effectively, problems with transitioning to upgraded or replacement systems, or disruptions in the operation
of the internet, could cause delays in product sales and reduced efficiency of our operations. Significant expenditures could be required to fix any such
problem.

If there is an increase in demand for our products, it could require us to expend considerable resources or harm our customer relationships if we are
unable to meet that demand.

If  there  are  significant  or  unexpected  increases  in  the  demand  for  our  products,  we  may  not  be  able  to  meet  that  demand  without  expending  additional
capital  resources.  This  would  increase  our  capital  costs,  which  could  negatively  affect  our  earnings  in  the  short  term.  In  addition,  new  manufacturing
equipment or facilities may require FDA, WHO, and other regulatory approvals before they can be used to manufacture our products. To the extent we are
unable to obtain or are delayed in obtaining such approvals, our ability to meet the demand for our products could be adversely affected. Furthermore, our
suppliers  may  be  unable  or  unwilling  to  expend  the  necessary  capital  resources  or  otherwise  expand  their  capacity,  which  could  negatively  affect  our
business.

Our business could be negatively affected if we or our suppliers are unable to develop necessary manufacturing capabilities in a timely manner. If we fail to
increase production volumes in a cost effective manner or if we experience lower than anticipated yields or production problems as a result of changes that
we or our suppliers make in our manufacturing processes to meet increased demand, we could experience shipment delays or interruptions and increased
manufacturing costs, which could also have a material adverse effect on our revenues and profitability.

If there are unexpected increases in demand for our products, we may be required to obtain additional raw materials in order to manufacture products to
meet the increase in demand. However, some raw materials require significant ordering lead time and some are currently obtained from a sole supplier or a
limited group of suppliers. It is also possible that one or more of our suppliers may become unwilling or unable to deliver materials to us. Any shortfall in
our supply of raw materials and components, or our inability to quickly and cost‑effectively obtain alternative sources for this supply, could have a material
adverse effect on our ability to meet increased demand for our products. This could negatively affect our total revenues or cost of sales and related profits.

If we are unable to meet customer demand for our products, it could also harm our relationships with our customers and impair our reputation within the
industry. This, in turn, could have a material adverse effect on our business.

Our management and larger stockholders exercise significant control over us.

As of December 31, 2020, 2% of our outstanding common stock was beneficially owned by our executive officers, directors and 5% stockholders including
three large investors that beneficially own 18%, of our outstanding common stock. For the foreseeable future, and assuming these ownership percentages
continue to apply, to the extent that these parties vote similarly, they may be able to exercise significant control over many matters requiring approval by
the board of directors or our stockholders. As a result, they may be able to:

● control the composition of our board of directors;
● control our management and policies;
● determine the outcome of significant corporate transactions, including changes in control that may be beneficial to stockholders; and,
● act in each of their own interests, which may conflict with or differ from the interests of each other or the interests of the other stockholders.

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Risks Related to Our Products

Our  COVID-19  Diagnostic  Test  Systems  may  not  gain  wide  industry  acceptance,  and  industry  adoption  of  alternative  technology  could  negatively
impact our ability to compete successfully.

Of the 171 manufacturers and commercial laboratories to receive an EUA for COVID‑19 diagnostics as of July 31, 2020, 35 were for serology tests, 134
were  for  molecular  tests,  and  2  were  for  antigen  tests.  Customers  or  the  industry  as  a  whole  could  adopt  alternative  technologies  for  testing,  including
molecular point‑of‑care testing, which could result in lower demand for our antigen test. Various advances in the treatment and monitoring of patients could
cause  lower  demand  for  the  COVID-19  Diagnostic  Test  Systems,  including  our  revised  DPP  SARS‑CoV‑2  Antigen  System  or  for  antigen  testing  for
COVID‑19 as a whole.

COVID‑19 is prone to genetic mutations which may impact the ability of the COVID-19 Diagnostic Test Systems  to  adequately  detect  COVID‑19  or
SARS-CoV-2 antigens and could adversely affect demand for the COVID-19 Diagnostic Test Systems and harm our competitive position.

False test results are a risk with all laboratory tests, including COVID‑19 diagnostic tests. False results can occur in the presence or absence of a mutation
in the COVID‑19 virus. In the presence of a mutation in the virus, false results can occur if a mutation occurs in the region of the virus that the test is
designed to assess. False results may occur with  the COVID-19 Diagnostic Test Systems in the presence or absence of one or more COVID‑19 mutations.
If  false  negatives  occur  with    the  COVID-19  Diagnostic  Test  Systems,  it  will  may  reduce  customer  confidence  in  the  accuracy  of    the  COVID-19
Diagnostic Test Systems and harm our competitive position.

For our business to succeed in the future, our current and future products must receive market acceptance.

Market  acceptance  and  the  timing  of  such  acceptance,  of  our  new  products  or  technologies  is  necessary  for  our  future  success.  To  achieve  market
acceptance, we and our distributors will likely be required to undertake substantial efforts and spend significant funds to inform every one of the existence
and perceived benefits of our products. We also may require government funding for the purchase of our products to help create market acceptance and
expand the use of our products.

It may be difficult evaluate the market reaction to our products and our marketing efforts for new products may not be successful. The government funding
we receive may be limited for new products. As such, there can be no assurance that any products will obtain significant market acceptance and fill the
market need that is perceived to exist on a timely basis, or at all.

We may not have sufficient resources to effectively introduce and market our products, which could materially harm our operating results.

Introducing  and  achieving  market  acceptance  for  our  new  products  will  require  substantial  marketing  efforts  and  will  require  us  and/or  our  contract
partners, sales agents, and/or distributors to make significant expenditures of time and money. In some instances we will be significantly or totally reliant
on the marketing efforts and expenditures of our contract partners, sales agents, and distributors. If they do not have or commit the expertise and resources
to effectively market the products that we manufacture, our operating results will be materially harmed.

New developments in health treatments and non‑diagnostic products may reduce or eliminate the demand for our products.

The  development  and  commercialization  of  products  outside  of  the  diagnostics  industry  could  adversely  affect  sales  of  our  products.  For  example,  the
development of a safe and effective vaccine to HIV or treatments for other diseases or conditions that our products are designed to detect, could reduce or
eventually eliminate the demand for our HIV or other diagnostic products and result in a loss of revenues.

Our  future  success  will  depend  on  our  ability  to  increase  manufacturing  production  capacity  through  the  implementation  of  additional  customized
manufacturing automation equipment.

One of our key challenges will be to increase our production capacity to meet sales demand while maintaining product quality and reducing production
costs. Our primary strategy to accomplish this consists of the implementation of additional customized automation equipment. The equipment we order
may  not  be  delivered  in  a  timely  manner,  and,  once  delivered,  the  equipment  may  require  significant  time  and  effort  in  order  to  operate  in  the  manner
required to produce high quality products. We experienced significant unexpected delays before our current automation equipment operated in the manner
for which it was designed. The investments we make in this equipment may not yield the anticipated labor and material efficiencies. Our business, financial
condition and results of operations could be harmed if we are unable to timely obtain automation equipment that meets our requirements or if there are
significant increases in the costs of equipment.

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Sales cycles for our products can be lengthy, which can cause variability and unpredictability in our business.

Some of our products may require lengthy and unpredictable sales cycles, which makes it more difficult to accurately forecast revenues in a given period
and may cause revenues and operating results to vary from period to period. Our products may involve sales to large public and private institutions which
may require many levels of approval and may be dependent on economic or political conditions and the availability of grants or funding from government
or public health agencies which can vary from period to period. There can be no assurance that purchases or funding from these agencies will occur or
continue, especially if current negative economic conditions continue or intensify. As a result, we may expend considerable resources on unsuccessful sales
efforts or we may not be able to complete transactions at all or on a schedule and in an amount consistent with our objectives.

We may face product liability claims for injuries.

The testing, manufacturing and marketing of medical diagnostic products involves an inherent risk of product liability claims. If we cannot successfully
defend ourselves against product liability claims, we may incur substantial liabilities or be required to limit or cease sales of our products. We cannot be
sure that we will not incur liabilities in excess of the policy limits of our existing product liability insurance coverage or that we will be able to continue to
obtain adequate product liability insurance coverage in the future at an acceptable cost, or at all. In addition, a defect in the design or manufacture of our
products could have a material adverse effect on our reputation in the industry and subject us to claims of liability for injury and otherwise. Any substantial
underinsured loss resulting from such a claim could have a material adverse effect on our profitability, and the damage to our reputation in the industry
could have a material adverse effect on our business.

Our customers may not adopt rapid point‑of‑care diagnostic testing.

Rapid point‑of‑care tests are beneficial because, among other things, they can be administered by healthcare providers in their own facilities or used by
consumers at home without sending samples to central laboratories. But currently the majority of diagnostic tests used by physicians and other healthcare
providers  in  the  U.S.  are  provided  by  clinical  reference  laboratories  and  hospital‑based  laboratories.  In  some  international  markets,  such  as  Europe,
diagnostic  testing  is  performed  primarily  by  centralized  laboratories.  Future  sales  of  our  products  will  depend,  in  part,  on  our  ability  to  expand  market
acceptance  of  rapid  point‑of‑care  testing  and  successfully  compete  against  laboratory  testing  methods  and  products.  However,  we  expect  that  clinical
reference and other hospital‑based laboratories will continue to compete vigorously against our rapid point‑of‑care products. Even if we can demonstrate
that our products are more cost effective, save time, or have better performance or other benefits, physicians, other healthcare providers and consumers may
resist changing to rapid point‑of‑care tests and instead may choose to obtain diagnostic results through laboratory tests. If we fail to achieve and expand
market acceptance of our rapid point‑of‑care diagnostic tests with customers, it would have a negative effect on our future sales growth.

Customer concentration creates risks for our business.

A  significant  portion  of  our  revenues  each  year  comes  from  a  few  large  customers.  To  the  extent  that  such  a  large  customer  fails  to  meet  its  purchase
commitments, changes its ordering patterns or business strategy, or otherwise reduces its purchases or stops purchasing our products, or if we experience
difficulty in meeting the demand by these customers for our products, our revenues and results of operations could be adversely affected.

If our products do not perform properly, it may affect our revenues, stock price and reputation.

Our products may not perform as expected. For example, a defect in one of our diagnostic products or a failure by a customer to follow proper testing
procedures may cause the product to report inaccurate information. Identifying the root cause of a product performance or quality issue can be difficult and
time consuming.

If  our  products  do  not  to  perform  in  accordance  with  the  applicable  label  claims  or  otherwise  in  accordance  with  the  expectations  or  needs  of  our
customers,  customers  may  switch  to  a  competing  product  or  otherwise  stop  using  our  products,  and  our  revenues  could  be  negatively  affected.  If  this
occurs, we may be required to implement holds or product recalls and incur warranty obligations. Furthermore, the poor performance by one or more of our
products could have an adverse effect on our reputation, our continuing ability to sell products and the price of our Common Stock.

Financial, Economic and Financing Risks

We have incurred losses in recent years and we are uncertain about our future profitability.

We incurred an operating loss every year from 2014 through 2020. Under our operating plans, we have made, and plan to continue to make, significant
investments  in  our  production  capacity,  including  in  expanding  facilities  and  automating  manufacturing,  and  in  our  sales  and  marketing,  regulatory
approval, and research and development activities. Our ability to achieve profitability and generate cash flow in the future will depend on our ability to
increase sales of our existing products and to successfully introduce new and enhanced products into the marketplace, all while controlling and managing
our expenses consistent with our operating plan.

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If we are unable to increase our revenues and manage our expenses in accordance with our operating plan, our operating results would be harmed and we
may not be able to generate the cash flow needed to fund the investments in our production capacity and other activities, we will be required to implement
one or both of the following:

● We  could  reduce  the  level,  or  otherwise  delay  the  timing,  of  the  anticipated  investments  in  our  production  capacity  and  other  activities,  which
would  likely  curtail  or  delay  the  growth  in  our  business  contemplated  by  our  operating  plan  and  could  impair  or  defer  our  ability  to  achieve
profitability and generate cash flow.

● We could raise additional funds through public or private financings, strategic relationships, or other arrangements, to the extent funding would be
available to us on acceptable terms or at all. If we succeed in raising additional funds through the issuance of equity or convertible securities, then
the issuance could result in substantial dilution to existing stockholders. Furthermore, the holders of these new securities or debt may have rights,
preferences and privileges senior to those of the holders of our Common Stock.

In such circumstances, we also would need to forego acquisition opportunities, which could impede our ability to grow our business.

Our financial results may fluctuate.

From quarter to quarter and year to year, our operating results can fluctuate, which could cause our growth or financial performance to fail to meet the
expectations of investors and securities analysts. Sales to our distributors and other customers may not meet expectations because of lower than expected
customer  demand  or  other  factors,  including  continued  economic  volatility  and  disruption,  reduced  governmental  funding,  and  other  circumstances
described  elsewhere  in  this  report.  A  variety  of  factors  could  also  contribute  to  the  variability  of  our  financial  results,  including  infrequent,  unusual  or
unexpected changes in revenues or costs.

Different products provide dissimilar contributions to our gross product margin. Accordingly, our operating results could also fluctuate and be negatively
affected by the mix of products sold and the relative prices and gross product margin contribution of those products. Failure to achieve operating results
consistent with the expectations of investors and securities analysts could adversely affect our reputation and the price of our Common Stock.

The failure to comply with the terms of our Credit Agreement and Guaranty could result in a default under its terms and, if uncured, could result in
action against our pledged assets and dilution of our stockholders.

On  September  3,  2019,  we  entered  into  a  Credit  Agreement  and  Guaranty,  or  Credit  Agreement,  with  Perceptive  Credit  Holdings  II,  LP,  or  Perceptive.
Under the Credit Agreement, we received a $20,000,000 senior secured term loan credit facility, which was drawn in full on September 4, 2019. The credit
agreement is secured by a first priority, perfected lien on substantially all of our property and assets, including our equity interests in our subsidiaries.

The Credit Agreement contains covenants that restrict our ability to finance future operations or capital needs or to engage in other business activities. The
Credit Agreement restricts our ability and the ability of our restricted subsidiaries to:

● incur, assume or guarantee additional Indebtedness (as defined in the Credit Agreement);
● repurchase capital stock;
● make other restricted payments including, without limitation, paying dividends and making investments;
● create liens;
● sell or otherwise dispose of assets, including capital stock of subsidiaries;
● enter into agreements that restrict dividends from subsidiaries;
● enter into mergers or consolidations; and
● enter into transactions with affiliates

In  addition,  the  Credit  Agreement  also  contain  covenants  requiring  us  and  our  subsidiaries  to  maintain  cash  and  cash  equivalents  held  in  one  or  more
accounts  subject  to  the  first  priority  perfected  security  interests  of  the  lenders  under  the  Credit  Agreement  of  not  less  than  $3,000,000.  The  Credit
Agreement  also  provides  for  specified  quarterly  minimum  consolidated  net  revenue  covenants  of  us  and  our  subsidiaries  for  the  trailing  twelve‑month
period ended on each such calculation date during the term of the Credit Agreement. A breach of any of these covenants would result in a default under the
Credit  Agreement.  If  an  event  of  default  under  our  Credit  Agreements  occurs,  Perceptive  could  elect  to  declare  all  amounts  outstanding  thereunder,
together with accrued interest, to be immediately due and payable. If we were unable to pay such amounts, Perceptive could proceed against the collateral
pledged to them. We have pledged our inventory, accounts receivable, cash, securities, other general intangibles and the capital stock of certain subsidiaries
to the lenders. In such an event, we cannot assure you that we would have sufficient assets to pay amounts due under the Credit Agreement.

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Servicing our debt will require a significant amount of cash. Our ability to generate sufficient cash to service our debt depends on many factors beyond
our control.

Our ability to make payments on and to refinance our debt, to fund planned capital expenditures, and to maintain sufficient working capital depends on our
ability to generate cash in the future. This, to a certain extent, is subject to general economic, financial, competitive, legislative, regulatory and other factors
that are beyond our control. We cannot assure you that our business will generate sufficient cash flow from operations or from other sources in an amount
sufficient to enable us to service our debt or to fund our other liquidity needs. In the year ended December 31, 2020, our operations used $18.9 million in
cash. If our cash flow and capital resources are insufficient to allow us to make scheduled payments on our debt, we may need seek additional capital or
restructure or refinance all or a portion of our debt on or before the maturity thereof, any of which could have a material adverse effect on our business,
financial  condition  or  results  of  operations.  We  cannot  assure  you  that,  if  needed,  we  would  be  able  to  refinance  any  of  our  debt  on  commercially
reasonable terms or at all, or that the terms of that debt will allow any of the above alternative measures or that these measures would satisfy our scheduled
debt service obligations. If we are unable to generate sufficient cash flow to repay or refinance our debt on favorable terms, it could significantly adversely
affect  our  financial  condition.  Our  ability  to  restructure  or  refinance  our  debt  will  depend  on  the  condition  of  the  capital  markets  and  our  financial
condition. Any refinancing of our debt could be at higher interest rates and may require us to comply with more onerous covenants, which could further
restrict our business operations. There can be no assurance that we will be able to obtain any financing when needed.

The LIBOR calculation method may change, and LIBOR is expected to be phased out after 2021, which may adversely affect our interest expenses
under the Credit Agreement and Guaranty.

Loans under the Credit Agreement and Guaranty bear interest at a rate per annum equal to the sum of (a) the greater of the one‑month London Interbank
Offered Rate, or LIBOR, and 2.5% plus (b) 8.75%. At any time at which an event of default has occurred and is continuing, the interest rate will increase
by 4.0%. Accrued interest is payable on a monthly basis. On July 27, 2017, the U.K. Financial Conduct Authority announced that it will no longer require
banks  to  submit  rates  for  the  calculation  of  LIBOR  after  2021.  On  November  30,  2020,  ICE  Benchmark  Administration,  or  IBA,  the  administrator  of
LIBOR,  with  the  support  of  the  United  States  Federal  Reserve  and  the  United  Kingdom’s  Financial  Conduct  Authority,  announced  plans  to  consult  on
ceasing publication of USD LIBOR on December 31, 2021 for only the one week and two month USD LIBOR tenors, and on June 30, 2023 for all other
USD  LIBOR  tenors.  While  this  announcement  extends  the  transition  period  to  June  2023,  the  United  States  Federal  Reserve  concurrently  issued  a
statement advising banks to stop new USD LIBOR issuances by the end of 2021. In light of these recent announcements, the future of LIBOR at this time
is uncertain and any changes in the methods by which LIBOR is determined or regulatory activity related to LIBOR’s phaseout could cause LIBOR to
perform differently than in the past or cease to exist.

At this time, no consensus exists as to what rate or rates will become accepted alternatives to LIBOR, although The U.S. Federal Reserve, in conjunction
with  the  Alternative  Reference  Rates  Committee,  is  considering  replacing  U.S.  dollar  LIBOR  with  the  Secured  Overnight  Financing  Rate,  or  SOFR,  a
newly created index, calculated with a broad set of short‑term repurchase agreements backed by treasury securities. It is not possible to predict the effect of
these changes, other reforms or the establishment of alternative reference rates in the United States or elsewhere.

Pursuant to the Credit Agreement and Guaranty, if LIBOR becomes unavailable in the future, the Administrative Agent and Borrower (as such terms are
defined  in  the  Credit  Agreement  and  Guaranty)  may  select  an  alternative  benchmark  rate,  which  may  include  SOFR.  To  the  extent  our  interest  rates
increase as a result, our interest expense will increase, in which event we may have difficulties making interest payments and funding our other fixed costs,
and our available cash flow for general corporate requirements may be adversely affected.

Our operating results may be negatively affected by changes in foreign currency exchange rates.

In the past our exposure to foreign currency exchange rate risk has not been material. Nevertheless, sales of our products are subject to currency risks, since
changes in the values of foreign currencies relative to the value of the U.S. dollar can render our products comparatively more expensive. The fluctuations
in the exchange rate could negatively impact international sales of our products, as could changes in the general economic conditions.

The  revenues  and  expenses  of  Chembio  Diagnostics  Malaysia,  opTricon  and  Orangelife,  one  of  our  subsidiaries,  are  recorded  in  Malaysian  Ringgit,  in
Euros and Brazilian Real, respectively. Revenues and expenses denominated in foreign currencies are translated into U.S. dollars for purposes of reporting
our consolidated financial results. Our expectation is that the Chembio Diagnostics Malaysia, opTricon and Orangelife businesses will continue to grow
and, consequently, our exposure to foreign currency exchange rates may grow as well.

Our foreign subsidiaries’ revenues and expenses and the translation of their financial results into U.S. dollars may be negatively affected by fluctuations in
the exchange rate. Favorable movement in exchange rates have benefited us in prior periods. However, where there are unfavorable currency exchange rate
fluctuations,  our  consolidated  financial  statements  could  be  negatively  affected.  Furthermore,  fluctuations  in  exchange  rates  could  affect  year‑to‑year
comparability of operating results. In the past, we have not generally entered into hedging instruments to manage our currency exchange rate risk, but we
may need to do so in the future. However, our attempts to hedge against these risks may not be successful. If we are unable to successfully hedge against
unfavorable foreign currency exchange rate movements, our consolidated financial results may be adversely impacted.

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We operate in countries where there is or may be widespread corruption.

We have a policy in place prohibiting our employees, distributors and agents from engaging in corrupt business practices, including activities prohibited by
the U.S. Foreign Corrupt Practices Act. Nevertheless, because we work through independent sales agents and distributors outside the United States, we do
not have control over the day‑to‑day activities of such independent agents and distributors. In addition, in the donor‑funded markets in Africa where we sell
our  products,  there  is  significant  oversight  from  PEPFAR,  the  Global  Fund,  and  advisory  committees  comprised  of  technical  experts  concerning  the
development and establishment of national testing protocols. This is a process that includes an overall assessment of a product which includes extensive
product performance evaluations including five active collaborations and manufacturer’s quality systems, as well as price and delivery. In Brazil, where we
operate  our  subsidiary  Orangelife  and  have  had  numerous  product  collaborations  with  FIOCRUZ,  the  programs  through  which  our  products  may  be
deployed  are  all  funded  by  the  Brazilian  Ministry  of  Health.  Although  FIOCRUZ  is  affiliated  with  the  Brazilian  Ministry  of  Health,  and  is  its  sole
customer,  FIOCRUZ  is  not  the  exclusive  supplier  for  the  Ministry  of  Health.  However,  because  each  of  our  previous  collaborations  with  FIOCRUZ
incorporates a technology transfer aspect, we believe we have a competitive advantage versus other suppliers to the Brazilian Ministry of Health, assuming
other  aspects  of  our  product  offering  through  FIOCRUZ  are  otherwise  competitive  in  comparison.  We  have  no  knowledge  or  reason  to  know  of  any
activities by our employees, distributors or sales agents of any actions which could be in violation of the FCPA, although there can be no assurance of this.

Our subsidiary Chembio Diagnostics Malaysia Sdn. Bhd. is located in Malaysia. There have been numerous high‑profile corruption cases, and corruption is
one  of  the  most  problematic  factors  for  doing  business  in  Malaysia.  While  the  Malaysian  government  has  acknowledged  the  problem,  it  appears  that
endemic corruption is continuing and that market‑based principles are not applied in cases involving individuals with high‑level political access. To the
extent bribery and similar practices continue to exist in Malaysia, U.S. companies such as ours, which are subject to U.S. laws making it illegal to pay
bribes to foreign officials, may make us less competitive in winning business in Malaysia when competing with non‑U.S. companies.

Changes in interpretation or application of U.S. Generally Accepted Accounting Principles may adversely affect our operating results.

We  prepare  our  financial  statements  to  conform  to  U.S.  generally  accepted  accounting  principles.  These  principles  are  subject  to  interpretation  by  the
Financial  Accounting  Standards  Board,  the  American  Institute  of  Certified  Public  Accountants,  the  Public  Company  Accounting  Oversight  Board,  the
Securities  and  Exchange  Commission  and  various  other  regulatory  or  accounting  bodies.  A  change  in  interpretations  of,  or  our  application  of,  these
principles can have a significant effect on our reported results and may even affect our reporting of transactions completed before a change is announced.
Additionally, as we are required to adopt new accounting standards, our methods of accounting for certain items may change, which could cause our results
of operations to fluctuate from period to period. For example, upon adoption of Accounting Standards Codification (“ASC”) 606 Revenue from Contracts
with Customers of the Financial Accounting Standards Board (“FASB”), we now recognize revenue upon transfer of control, which is generally at time of
delivery.  Under  the  previous  accounting  guidance,  we  recognized  revenue  upon  acceptance  when  and  if  we  had  production  responsibilities.  If
circumstances change over time or interpretation of the revenue recognition rules change, we could be required to adjust the timing of recognizing revenue
and our financial results could suffer.

We base our estimates or judgments relating to critical accounting policies on assumptions that can change or prove to be incorrect.

Our  financial  statements  have  been  prepared  in  accordance  with  accounting  principles  generally  accepted  in  the  United  States  and  our  discussion  and
analysis of financial condition and results of operations is based on such statements. The preparation of financial statements requires management to make
estimates  and  assumptions  that  affect  the  amounts  reported  in  the  financial  statements  and  accompanying  notes.  We  continuously  evaluate  significant
estimates  used  in  preparing  our  financial  statements,  including  those  related  to  (i)  revenue  recognition,  including  uncertainties  related  to  variable
consideration  and  milestones;  (ii)  stock‑based  compensation;  (iii)  allowance  for  uncollectible  accounts  receivable;  (iv)  inventory  reserves  and
obsolescence;  (v)  customer  sales  returns  and  allowances;  (vi)  contingencies;  and  (vii)  income  taxes,  (viii)  goodwill  and  intangibles,  (ix)  business
acquisition, and (x) research and development costs.

For example, for the quarter ended June 30, 2020, our cost of product sales included the cost of COVID‑19 systems that were produced and shipped outside
the U.S., but for which revenue was not recognized in the quarter. We decided we were unable to recognize the revenue from those shipments in the second
quarter due to the GAAP requirement that we have a high degree of confidence that it is probable that a significant reversal in revenue will not occur in the
future. Many factors can affect such a decision, including, for example, actions of third parties and other considerations that are outside our influence or
control. As a result, we recognized negative gross margin in the quarter.

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Our estimates are based on historical experience and various other assumptions that we believe to be reasonable, as set forth in our discussion and analysis
of financial condition and results of operations, the results of which form the basis for making judgments about the carrying values of assets and liabilities
that  are  not  readily  apparent  from  other  sources.  Actual  results  may  differ  from  these  and  other  estimates  if  our  assumptions  change  or  if  actual
circumstances differ from those in our assumptions. If our operating results fall below the expectations of securities analysts and investors, the price of our
Common Stock may decline.

Risks Related to Intellectual Property

Our success depends on our ability to protect our proprietary technology. We rely on trade secret laws and agreements with our key employees and
other third parties to protect our proprietary rights, and we cannot be sure that these laws or agreements will adequately protect our rights.

Our industry places considerable importance on obtaining patent, trademark and trade secret protection, as well as other intellectual property rights, for new
technologies, products and processes. Our success depends, in part, on our ability to develop and maintain a strong intellectual property portfolio or obtain
licenses  to  patents  and  technologies,  both  in  the  United  States  and  in  other  countries.  If  we  cannot  continue  to  develop,  obtain  and  protect  intellectual
property rights, our revenues and gross profits could be adversely affected. Moreover, our current and future licenses or other rights to patents and other
technologies may not be adequate for the operation of our business.

As appropriate, we intend to file patent applications and obtain patent protection for our proprietary technology. These patent applications and patents will
cover, as applicable, compositions of matter for our products, methods of making those products, methods of using those products and apparatuses relating
to the use or manufacture of those products. However, there have been changes to the patent laws and proposed changes to the rules of the U.S. Patent and
Trademark  Office,  which  may  impact  our  ability  to  protect  our  technology  and  enforce  our  intellectual  property  rights.  For  example,  in  2011,  the  U.S.
enacted sweeping changes to the U.S. patent system under the Leahy‑Smith America Invents Act, including changes that would transition the U.S. from a
“first‑to‑invent” system to a “first‑to‑file” system and alter the processes for challenging issued patents. These changes could increase the uncertainties and
costs surrounding the prosecution of our patent applications and the enforcement or defense of our issued patents.

We believe that factors such as the technological and creative skills of our personnel, strategic relationships, new product developments, frequent product
enhancements  and  name  recognition  are  essential  to  our  success.  All  our  management  personnel  are  bound  by  non‑disclosure  agreements.  If  personnel
leave our employment, in some cases we would be required to protect our intellectual property rights pursuant to common law theories which may be less
protective than provisions of employment, non‑competition or non‑disclosure agreements.

We  seek  to  protect  our  proprietary  products  under  trade  secret  and  copyright  laws,  enter  into  license  agreements  for  various  materials  and  methods
employed  in  our  products,  and  enter  into  strategic  relationships  for  distribution  of  the  products.  These  strategies  afford  only  limited  protection.  We
currently have some foreign patents issued, and we are seeking additional patent protection in several other foreign jurisdictions for our DPP and optical
technology. We have licenses to reagents (antigens and peptides) used in several of our products and products under development. Despite our efforts to
protect  our  proprietary  assets,  and  respect  the  intellectual  property  rights  of  others,  we  participate  in  several  markets  where  intellectual  property  rights
protections are of little or no value. This can place our products and our company at a competitive disadvantage.

Moreover, issued patents remain in effect for a fixed period and after expiration will not provide protection of the inventions they cover. Once our patents
expire,  we  may  be  faced  with  increased  competition,  which  could  reduce  our  revenues.  We  may  also  not  be  able  to  successfully  protect  our  rights  to
unpatented trade secrets and know‑how.

To facilitate development and commercialization of a proprietary technology base, we may need to obtain additional licenses to patents or other proprietary
rights from other parties. Obtaining and maintaining these licenses, which may not be available, may require the payment of up‑front fees and royalties. In
addition, if we are unable to obtain these types of licenses, our product development and commercialization efforts may be delayed or precluded.

Any  future  intellectual  property  disputes  could  require  significant  resource  and  limit  or  eliminate  our  ability  to  sell  products  or  use  certain
technologies.

We may be required to expend substantial resources in asserting or protecting our intellectual property rights, or in defending suits related to intellectual
property rights. We may seek to enforce our patents or other intellectual property rights through litigation. Such litigation is prevalent and is expected to
continue. In our business, there are a large number of patents and patent applications similar to our products, and additional patents may be issued to third
parties relating to our product areas. We, our customers or our suppliers may be sued for infringement of patents or misappropriation of other intellectual
property rights with respect to one or more of our products. We may also have disputes with parties that license patents to us if we believe the license is no
longer needed for our products or the licensed patents are no longer valid or enforceable.

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There are a large number of patents in our industry, and the claims of these patents appear to overlap in many cases. Therefore there is a significant amount
of  uncertainty  regarding  the  extent  of  patent  protection  and  infringement.  Companies  may  have  pending  patent  applications,  which  are  typically
confidential for the first eighteen months following filing that cover technologies we incorporate in our products. Accordingly, we may be subjected to
substantial damages for past infringement or be required to modify our products or stop selling them if it is ultimately determined that our products infringe
a third party’s proprietary rights. In addition, governmental agencies could commence investigations or criminal proceedings against our employees or us
relating to claims of misuse or misappropriation of another party’s proprietary rights.

If we are involved in litigation or other legal proceedings with respect to patents or other intellectual property and proprietary technology, it could adversely
affect  our  revenues,  results  of  operations,  market  share  and  business  because  (1)  it  could  consume  a  substantial  portion  of  managerial  and  financial
resources; (2) its outcome would be uncertain and a court may find that our patents are invalid or unenforceable in response to claims by another party or
that the third‑party patent claims are valid and infringed by our products; (3) the pendency of any litigation may in and of itself cause our distributors and
customers to reduce or terminate purchases of our products; (4) a court could award a preliminary and/or permanent injunction, which would prevent us
from selling our current or future products; and (5) an adverse outcome could subject us to the loss of the protection of our patents or to liability in the form
of  past  royalty  payments,  penalties,  reimbursement  of  litigation  costs  and  legal  fees,  special  and  punitive  damages,  or  future  royalty  payments,  any  of
which could significantly affect our future earnings.

Under  certain  contracts  with  third  parties,  we  may  indemnify  the  other  party  if  our  products  or  activities  have  actually  or  allegedly  infringed  upon,
misappropriated or misused another party’s proprietary rights. Furthermore, our products may contain technology provided to us by third parties, and we
may be unable to determine in advance whether such technology infringes the intellectual property rights of a third party. These other parties may also not
be required or financially able to indemnify us in the event that an infringement or misappropriation claim is asserted against us.

There  may  also  be  other  types  of  disputes  that  we  become  involved  in  regarding  intellectual  property  rights,  including  state,  federal  or  foreign  court
litigation,  and  patent  interference,  patent  reissue,  patent  reexamination,  or  trademark  opposition  proceedings  in  the  United  States  Patent  and  Trademark
Office. Opposition or revocation proceedings could be instituted in a foreign patent office as well. These proceedings permit certain persons to challenge
the validity of a patent on the grounds that it was known from the prior art. The filing of such proceedings, or the issuance of an adverse decision in such
proceedings,  could  result  in  the  loss  of  valuable  patent  rights  that  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  results  of
operations and growth prospects.

Risks Related to Our Third Party Collaborators

Our  use  of  third‑party  suppliers,  some  of  which  may  constitute  our  sole  supply  source,  for  certain  important  product  components  and  materials
presents risks that could have negative consequences for our business.

We purchase certain HIV antigens, a syphilis antigen, COVID‑19 antigens, the nitrocellulose, and certain other critical components used in our STAT‑PAK,
STAT‑VIEW, SURE CHECK and DPP product lines from a sole or limited number of sources. If for any reason these suppliers become unwilling or unable
to  supply  our  antigen,  nitrocellulose,  or  other  critical  component  needs,  we  believe  that  alternative  supplies  could  be  obtained  at  a  competitive  cost.
However, a change in any of the antigens, nitrocellulose or other critical components used in our products would require additional development work and
approval by the FDA and other regulatory agencies. In addition, it may be difficult to find such an alternate supply source in a reasonable time period or on
commercially reasonable terms, if at all. As a result, the termination or limitation of our relationship with one or more of these suppliers could require
significant  time  to  complete,  increase  our  costs,  and  disrupt  or  discontinue  our  ability  to  manufacture  and  sell  the  affected  products.  In  addition,
governmental purchasers or funding programs in a particular country may require that we purchase key components from suppliers in that country, which
could significantly limit our ability to obtain the components with the quality, and at the price, we seek.

With some of these suppliers, we do not have long‑term agreements and instead purchase components and materials through a purchase order process. As a
result,  these  suppliers  may  stop  supplying  us  components  and  materials,  limit  the  allocation  of  supply  and  equipment  to  us  due  to  increased  industry
demand, or significantly increase their prices at any time with little or no advance notice. Our reliance on a limited number of suppliers could also result in
delivery problems, reduced control over product pricing and quality, and our inability to identify and qualify another supplier in a timely manner.

Moreover, some of these suppliers may experience financial difficulties that could prevent them from supplying us with components or subassemblies used
in  the  design  and  manufacture  of  our  products.  In  addition,  these  suppliers  may  experience  manufacturing  delays  or  shut  downs  due  to  circumstances
beyond their control, such as complications related to COVID‑19, labor issues, political unrest or natural disasters.

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Any supply chain deficiencies could materially and adversely affect our ability to fulfill customer orders and our results of operations. The availability of
critical components and materials from sole‑ or limited source suppliers could reduce our control over pricing, quality and timely delivery, increase our
costs, could disrupt our ability to manufacture and sell, and preclude us from manufacturing and selling, certain of our products into one or more markets.
Any such event could have a material adverse effect on our results of operations, cash flow and business.

We  may  work  with  strategic  collaborators  to  assist  in  developing  and  commercializing  our  products,  which  could  limit  rights  we  receive  from  the
collaborations and exposes us to other risks outside our control.

Some business opportunities that require a technology controlled by a third party, a significant level of investment for development and commercialization
or  a  distribution  network  beyond  our  existing  sales  force  may  necessitate  involving  one  or  more  strategic  collaborators.  As  part  of  our  strategy  for
development and commercialization of our products, we may enter into arrangements with distributors or other third‑parties. Relying on such collaborative
relationships  could  be  risky  to  our  business  for  a  number  of  reasons,  including:  (i)  we  may  be  required  to  transfer  material  rights  to  such  strategic
collaborators, licensees and others; (ii) our collaborators may not obtain regulatory approvals necessary to continue the collaborations in a timely manner;
(iii)  our  collaborators  may  decide  to  terminate  our  collaborative  arrangement  or  become  insolvent;  (iv)  our  collaborators  may  develop  technologies  or
components competitive with our products; (v) disagreements with collaborators could result in the termination of the relationship or litigation; and (vi) we
may not be able to agree to future collaborative arrangements, or renewals of existing collaborative agreements, on acceptable terms or at all.

We expect our collaborators will have an economic motivation to succeed in performing their contractual responsibilities under our agreements, there is no
assurance that they will do so. Due to our reliance on strategic agreements, it can make it difficult to accurately forecast our future revenues and operating
results.

Our ability to grow our business will be limited if we fail to maintain existing distribution channels or develop new distribution channels.

We collaborate with laboratories, diagnostic companies and distributors in order to sell our products. The sale of our products depends in large part on our
ability to sell products to these customers and on the marketing and distribution abilities of the companies with which we collaborate and work with.

By relying on distributors or third‑parties to market and sell our products could negatively impact our business for various reasons, including: (i) we may
not be able to find suitable distributors for our products on satisfactory terms, or at all; (ii) agreements with distributors may prematurely terminate or may
result in litigation between the parties; (iii) our distributors or other customers may not fulfill their contractual obligations and distribute our products in the
manner or at the levels we expect; (iv) our distributors may prioritize their own private label products that compete with our products; (v) Our existing
distributor  relationships  or  contracts  may  preclude  or  limit  us  from  entering  into  arrangements  with  other  distributors;  and  (vi)  we  may  not  be  able  to
negotiate new or renew existing distribution agreements on acceptable terms, or at all.

We  will  try  to  maintain  and  expand  our  business  with  distributors  and  customers  and  make  every  effort  to  require  that  they  fulfill  their  contractual
obligations, but there can be no assurance that such companies will do so or that new distribution channels will be available on satisfactory terms. If we are
unable to do so, our business will be negatively impacted.

Our U.S. Government contracts require compliance with numerous laws and increases our risk and liability.

We are currently receiving funding from the U.S. government related to DPP Zika, and our growth strategy targets sales to U.S. government entities. As a
result of our U.S. government funding and potential product sales to the U.S. government, we must comply with laws and regulations relating to the award,
administration  and  performance  of  U.S.  government  contracts.  U.S.  government  contracts  typically  contain  a  number  of  extraordinary  provisions  that
would not typically be found in commercial contracts and which may create a disadvantage and additional risks to us as compared to competitors that do
not rely on government contracts. As a U.S. government contractor, we are subject to increased risks of investigation, criminal prosecution and other legal
actions and liabilities to which purely private sector companies are not. The results of any such actions could adversely impact our business and have an
adverse effect on our consolidated financial performance.

A violation of specific laws and regulations could result in the imposition of fines and penalties or the termination of our contracts, as well as suspension or
debarment. The suspension or debarment in any particular case may be limited to the facility, contract or subsidiary involved in the violation or could be
applied to our entire enterprise in certain severe circumstances. Even a narrow scope suspension or debarment could result in negative publicity that could
adversely affect our ability to renew contracts and to secure new contracts, both with the U.S. government and private customers, which could materially
and adversely affect our business and results of operations. Fines and penalties could be imposed for failing to follow procurement integrity and bidding
rules, employing improper billing practices or otherwise failing to follow rules relating to billing on cost‑plus contracts, receiving or paying kickbacks, or
filing false claims, among other potential violations. In addition, we could suffer serious reputational harm and the value of our Common Stock could be
negatively affected if allegations of impropriety related to such contracts are made against us.

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Our  U.S.  government  contracts  are  subject  to  future  funding  and  the  government’s  choice  to  exercise  options,  and  may  be  terminated  at  the
government’s convenience.

Our contracts with the U.S. government are subject to future funding and are subject to the right of the government to terminate the contracts in whole or in
part  for  its  convenience.  There  is  pressure  for  the  U.S.  government  to  reduce  spending.  The  non‑appropriation  of  funds  or  the  termination  for  the
government’s convenience of our contracts could negatively affect our financial results. If levels of U.S. government expenditures and authorizations for
emerging  diseases  decrease  or  shift  to  programs  in  areas  where  we  do  not  offer  products  or  are  not  developing  product  candidates,  or  if  the  U.S.
government otherwise declines to exercise its options under its contracts with us, our business, revenues and other operating results would suffer.

Risks Related to Regulations

COVID‑19 diagnostic tests, including  the COVID-19 Diagnostic Test Systems, are subject to changes in CLIA, FDA, ANVISA and other regulatory
requirements.

Our COVID-19 Diagnostic Test Systems are subject to regulations of the FDA, International Organization for Standards and other regulatory requirements,
including ANVISA, Brazil’s health regulatory agency. The regulations regarding the manufacture and sale of COVID-19 Diagnostic Test Systems may be
unclear  and  are  subject  to  change.  Newly  promulgated  regulations  could  require  changes  to  COVID-19  Diagnostic  Test  Systems,  necessitate  additional
procedures, or make it impractical or impossible for us to market COVID-19 Diagnostic Test Systems for certain uses, in certain markets, or at all. The
FDA and other regulatory authorities also have the ability to impose new or additional requirements relating to the COVID-19 Diagnostic Test Systems.
The implementation of such changes or new or additional requirements may result in a substantial additional costs and could delay or make it more difficult
or complicated to sell our products.

On February 4, 2020, the U.S. Department of Health and Human Services issued a declaration that the threat to public health posed by COVID-19 justify
the emergency use of unapproved in vitro diagnostics for the detection or diagnosis of SARS-CoV-2. Under Section 564 of the Food, Drug, and Cosmetic
Act, because the U.S. Department of Health and Human Services has issued this declaration, the Commissioner of the U.S. Food and Drug Administration,
or FDA, is authorized to issue EUAs to permit certain developers of SARS-CoV-2 diagnostics to begin offering the tests for detection and diagnosis of
COVID-19 without having completed the normally applicable FDA review and clearance or approval process for marketing authorization. We received an
EUA for the DPP COVID-19 IgM/IgG System on April 14, 2020, which was subsequent revoked by the FDA on June 16, 2020. Such revocation precludes
the sale of DPP COVID‑19 IgM/IgG Systems in the United States unless and until a further regulatory approval or authorization is obtained. We have not
received a subsequent EUA for any of the COVID-19 Diagnostic Test Systems, and we do not currently have an application pending for any such EUA.
Moreover, market and regulatory requirements continue to change at a rapid pace. The FDA has announced, for example, that it intends to update its EUA
templates with additional considerations related to the impact of genetic variants on test performance as the FDA learns more about the COVID-19 disease
and  its  knowledge  in  this  area  progresses.  The  time  required  to  obtain  marketing  authorizations  and  other  approvals  from  regulatory  authorities  is
unpredictable. The standards that the FDA and its foreign counterparts use when evaluating clinical trial data can change, and does often change, during
development,  which  makes  it  difficult  to  predict  with  any  certainty  how  they  will  be  applied.  If  we  make  future  submissions  to  the  FDA,  we  may  also
encounter unexpected delays or increased costs due to new government regulations, including future legislation or administrative action, or changes in FDA
policy during the period of FDA regulatory review. There can be no assurance that, if we are to make a submission of any future EUA application, we will
be successful in obtaining an EUA that would permit us to offer and sell any COVID-19 Diagnostic Test System in the United States.

We are subject to governmental export controls that could impair our ability to compete in international markets.

The United States and various foreign governments have imposed controls, export license requirements and restrictions on the export of certain products
and  technologies.  We  must  export  our  products  in  compliance  with  export  controls  in  the  United  States,  including  the  Commerce  Department’s  Export
Administration Regulations and various economic and trade sanctions established by the Treasury Department’s Office of Foreign Assets Controls. We may
not always be successful in obtaining necessary export licenses, and our failure to obtain required import or export approval for our products or limitations
on  our  ability  to  export  or  sell  our  products  imposed  by  these  laws  may  harm  our  international  and  domestic  sales  and  adversely  affect  our  revenue.
Noncompliance with these laws could have negative consequences, including government investigations, penalties and reputational harm.

If the United States government imposes restrictions on the export of COVID-19 Diagnostic Test Systems, or any of our other products, such restrictions
could  have  a  material  impact  on  our  ability  to  sell  our  products  to  existing  or  potential  customers  outside  of  the  United  States  and  harm  our  ability  to
compete internationally. Any change in export regulations or legislation, or change in the countries, persons or technologies targeted by export regulations,
could  decrease  our  ability  to  export  or  sell  our  products  outside  the  United  States  or  to  existing  or  potential  customers  with  international  operations.
Changes in our ability to sell our products outside the United States could negatively impact our business prospects and adversely affect our business and
results of operations.

Because we may not be able to obtain or maintain the necessary regulatory approvals for some of our products, we may not generate revenues in the
amounts  we  expect,  or  in  the  amounts  necessary  to  continue  our  business.  Our  existing  products  as  well  as  our  manufacturing  facility  must  meet
quality standards and are subject to inspection by a number of domestic regulatory and other governmental and non‑governmental agencies.

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All of our proposed and existing products are subject to regulation in the U.S. by the U.S. Food and Drug Administration or FDA, the U.S. Department of
Agriculture,  and/or  other  domestic  and  international  governmental,  public  health  agencies,  regulatory  bodies  or  non‑governmental  organizations.  In
particular,  we  are  subject  to  strict  governmental  controls  on  the  development,  manufacture,  labeling,  distribution  and  marketing  of  our  products.  The
process  of  obtaining  required  approvals  or  clearances  varies  according  to  the  nature  of,  and  uses  for,  a  specific  product.  These  processes  can  involve
lengthy and detailed laboratory testing, human or animal clinical trials, sampling activities, and other costly, time‑consuming procedures. The submission
of an application to a regulatory authority does not guarantee that the authority will grant an approval or clearance for that product. Each authority may
impose its own requirements and can delay or refuse to grant approval or clearance, even though a product has been approved in another country.

The time taken to obtain approval or clearance varies depending on the nature of the application and may result in the passage of a significant period of
time from the date of submission of the application. As an example, the time required to obtain an EUA from the FDA for COVID‑19 tests has lengthened
markedly over the past months due to, among other things, application volume. Delays in the approval or clearance processes increase the risk that we will
not succeed in introducing or selling the subject products, and we may determine to devote our resources to different products.

Changes or developments in government regulations, policies or interpretations could increase our costs and could require us to undergo additional trials or
procedures, or could make it impractical or impossible for us to market our products for certain uses, in certain markets, or at all. For example, on June 16,
2020, the FDA revoked the EUA it had granted for the DPP COVID‑19 IgM/IgG System based in part on performance criteria identified after the EUA
was  granted  on  April  14,  2020.  We  do  not  currently  have  an  EUA  from  the  FDA  for  any  of  the  COVID-19  Diagnostic  Test  Systems,  and  we  do  not
currently  have  an  application  pending  for  any  such  EUA  Moreover,  FDA  regulations,  policies  and  procedures  with  respect  to  COVID‑19  tests  may  be
significantly impacted by the continued development of vaccines for COVID‑19 and changes in the FDA’s prioritization guidance.

Changes  in  government  regulations  may  adversely  affect  our  financial  condition  and  results  of  operations  because  we  may  have  to  incur  additional
expenses if we are required to change or implement new testing, manufacturing and control procedures. If we are required to devote resources to develop
such new procedures, we may not have sufficient resources to devote to research and development, marketing, or other activities that are critical to our
business.  We  are,  for  example,  expending  resources  to  modify  the  design  of  the  COVID-19  Diagnostic  Test  System  to  achieve  performance  targets
consistent with the FDA’s performance criteria issued subsequent to the granting of our original EUA.

We can manufacture and sell our products only if we comply with regulations and quality standards established by government agencies such as the FDA
and the U.S. Department of Agriculture as well as by non‑governmental organizations such as the ISO and WHO. We have implemented a quality control
system  that  is  intended  to  comply  with  applicable  regulations.  Although  FDA  approval  is  not  required  for  the  export  of  our  products,  there  are  export
regulations promulgated by the FDA that specifically relate to the export of our products that require compliance with FDA QSRs and that also require
meeting  certain  documentary  requirements  regarding  the  approval  of  the  product  in  export  markets.  We  also  may  be  subject  to  import  regulations  in
connection with international sourcing of components and materials incorporated in the manufacturing of our products.

If we do not comply with FDA or other regulatory requirements, we may be required to suspend production or sale of our products or institute a recall,
which could result in higher costs and a loss of revenues.

Regulations  of  the  FDA  and  other  federal,  state  and  foreign  regulatory  agencies  have  significant  effects  on  many  aspects  of  our  operations,  and  the
operations  of  our  suppliers  and  distributors,  including  packaging,  labeling,  manufacturing,  adverse  event  reporting,  recalls,  distribution,  storage,
advertising, promotion and record keeping. We are subject to routine inspection by the FDA and other agencies to determine compliance with QSRs and
FDA regulatory requirements in the United States and other applicable regulations worldwide, including but not limited to ISO standards. We believe that
our facilities and procedures are in material compliance with the FDA requirements and ISO standards, but the regulations may be unclear and are subject
to change, and we cannot be sure that the FDA or other regulators will agree with our compliance with these requirements. The FDA and foreign regulatory
agencies  may  require  post‑marketing  testing  and  surveillance  to  monitor  the  performance  of  approved  or  cleared  products  or  impose  conditions  on  any
product  clearances  or  approvals  that  could  restrict  the  distribution  or  commercial  applications  of  those  products.  Regulatory  agencies  may  impose
restrictions on our or our distributors’ advertising and promotional activities or preclude these activities altogether if a noncompliance is believed to exist.
In addition, the subsequent discovery of previously unknown problems with a product may result in restrictions on the product or additional regulatory
actions, including withdrawal of the product from the market.

Our  inability  to  comply  with  the  applicable  requirements  of  the  FDA  can  result  in,  among  other  things,  483  notices,  warning  letters,  administrative  or
judicially imposed sanctions such as injunctions, recall or seizure of products, civil penalties, withdrawal of product registrations, total or partial suspension
of  production,  refusal  to  grant  premarket  clearance  for  devices,  a  determination  that  a  device  is  not  approvable,  marketing  clearances  or  approvals,  or
criminal  prosecution.  For  example,  in  February  2020,  we  received  a  “not  approvable”  letter  from  the  FDA  with  respect  to  our  premarket  approval
submission on our DPP HIV‑Syphilis multiplex test for commercial use in the United States and in June 2020 we received notice from the FDA that the
EUA  for  the  DPP  COVID‑19  IgM/IgG  System  had  been  revoked.  The  ability  of  our  suppliers  to  supply  critical  components  or  materials  and  of  our
distributors to sell our products could also be adversely affected if their operations are determined to be out of compliance. Such actions by the FDA and
other regulatory bodies could adversely affect our revenues, costs and results of operations.

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We must frequently make judgment decisions with respect to compliance with applicable laws and regulations. If regulators subsequently disagree with
how we have sought to comply with these regulations, we could be subjected to substantial civil and criminal penalties, as well as product recall, seizure or
injunction with respect to the sale of our products. Our reputation could be substantially impaired if we are assessed any civil and criminal penalties and
limit our ability to manufacture and market our products which could have a material adverse effect on our business.

Our inability to respond to changes in regulatory requirements could adversely affect our business.

We  believe  that  our  existing  products  and  procedures  are  in  material  compliance  with  all  applicable  FDA  regulations,  ISO  requirements,  and  other
applicable  regulatory  requirements,  but  the  regulations  regarding  the  manufacture  and  sale  of  our  products,  the  QSR  and  ISO  requirements,  and  other
requirements  may  be  unclear  and  are  subject  to  change.  Newly  promulgated  regulations  could  require  changes  to  our  products,  necessitate  additional
clinical trials or procedures, or make it impractical or impossible for us to market our products for certain uses, in certain markets, or at all. The FDA and
other regulatory authorities also have the ability to change the requirements for obtaining product approval and/or impose new or additional requirements
as part of the approval process. These changes or new or additional requirements may occur after the completion of substantial clinical work and other
costly development activities. The implementation of such changes or new or additional requirements may result in additional clinical trials and substantial
additional costs and could delay or make it more difficult or complicated to obtain approvals and sell our products. In addition, the FDA may revoke an
Emergency Use Authorization under which our products are sold, where it is determined that the underlying health emergency no longer exists or warrants
such  authorization.  Such  revocation  would  preclude  the  sale  of  our  affected  products  unless  and  until  a  further  regulatory  approval  or  authorization  is
obtained. For example, For example, on June 16, 2020, the FDA revoked the EUA it had granted for the DPP COVID‑19 IgM/IgG System based in part on
performance criteria identified after the Emergency Use Authorization was granted on April 14, 2020, and since that time we expended resources to design
the new COVID-19 Diagnostic Test Systems, including the DPP Respiratory Antigen Panel. We do not currently have an EUA from the FDA for any of the
COVID-19 Diagnostic Test Systems, and we do not currently have an application pending for any such EUA  We cannot anticipate or predict the effect, if
any, that these types of changes might have on our business, financial condition or results of operations.

Demand for our products may be affected by FDA regulation of laboratory‑developed tests and genetic testing.

Regulatory responsibility over instruments, test kits, reagents and other devices used to perform diagnostic testing by clinical laboratories is covered by the
FDA, including our Micro Reader analyzer. The FDA has previously taken the position that it has regulatory authority over laboratory‑developed tests, or
LDTs, but has exercised enforcement discretion by not regulating most LDTs performed by high complexity CLIA‑certified laboratories. LDTs are tests
designed, developed, and performed in‑house by a laboratory. These laboratories are subject to CLIA regulation but such laboratories have previously not
been subject to regulation by the FDA under the agency’s medical device requirements.

However, the FDA has announced that it would begin regulating LDTs, and in October 2014 the FDA issued proposed guidance on the regulation of LDTs
for  public  comment.  But,  on  November  18,  2016,  the  FDA  announced  that  it  would  not  finalize  the  proposed  guidance  prior  to  the  end  of  the  Obama
administration.  On  January  13,  2017,  the  FDA  released  a  discussion  paper  synthesizing  public  comments  on  the  2014  draft  guidance  documents  and
outlining  a  possible  approach  to  regulation  of  LDTs.  The  discussion  paper  has  no  legal  status  and  does  not  represent  a  final  version  of  the  LDT  draft
guidance documents. We cannot predict what policies the Trump administration will adopt with respect to LDTs. If the FDA increases regulation of LDTs,
it could make it more difficult for laboratories and other customers to continue offering LDTs that involve genetic or molecular testing. This, in turn, could
reduce demand for our products and adversely impact our revenues.

Disruptions at the FDA and other government agencies caused by funding shortages or global health concerns could hinder their ability to hire, retain
or deploy key leadership and other personnel, or otherwise prevent new or modified products from being developed, cleared, approved, authorized, or
commercialized in a timely manner or at all, which could negatively impact our business.

The ability of the FDA to review and clear, approve, or authorize new products can be affected by a variety of factors, including government budget and
funding levels, statutory, regulatory, and policy changes, the FDA’s ability to hire and retain key personnel and accept the payment of user fees, and other
events that may otherwise affect the FDA’s ability to perform routine functions. Average review times at the agency have fluctuated in recent years as a
result. In addition, government funding of other government agencies that fund research and development activities is subject to the political process, which
is inherently fluid and unpredictable. Disruptions at the FDA and other agencies may also slow the time necessary for medical devices or modifications to
be cleared or approved, medical devices to be reviewed and/or approved by necessary government agencies, which would adversely affect our business.
For example, over the last several years, including for 35 days beginning on December 22, 2018, the U.S. government has shut down several times and
certain regulatory agencies, such as the FDA, have had to furlough critical FDA employees and stop critical activities.

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Separately, in response to the global COVID‑19 pandemic, on March 10, 2020 the FDA announced its intention to postpone most foreign inspections of
manufacturing facilities and products, and subsequently, on March 18, 2020, the FDA announced its intention to temporarily postpone routine surveillance
inspections of domestic manufacturing facilities. Regulatory authorities outside the United States may adopt similar restrictions or other policy measures in
response  to  the  COVID‑19  pandemic.  If  a  prolonged  government  shutdown  occurs,  or  if  global  health  concerns  continue  to  prevent  the  FDA  or  other
regulatory authorities from conducting their regular inspections, reviews, or other regulatory activities, it could significantly impact the ability of the FDA
or other regulatory authorities to timely review and process our regulatory submissions, which could have a material adverse effect on our business.

In addition to FDA requirements, we are subject to several government regulations, compliance with which could increase our costs and affect our
operations.

In addition to the FDA regulations previously described, laws and regulations in some states may restrict our ability to sell products in those states.

We must comply with numerous laws related to safe working conditions, environmental protection, disposal of hazardous substances, fire hazard control,
manufacturing practices and labor or employment practices. Compliance with these laws or any new or changed laws regulating our business could result
in substantial costs. Due to the number of laws and regulations governing our industry, and the actions of a number of government agencies that could
affect our operations, it is impossible to reliably predict the full nature and impact of these laws and regulations. To the extent the costs and procedures
associated  with  complying  with  these  laws  and  requirements  are  substantial  or  it  is  determined  that  we  do  not  comply,  our  business  and  results  of
operations could be adversely affected.

Ongoing changes in healthcare regulation could negatively affect our revenues, business and financial condition.

There  have  been  several  proposed  changes  in  the  United  States  at  the  federal  and  state  level  for  comprehensive  reforms  regarding  the  payment  for,  the
availability  of  and  reimbursement  for  healthcare  services.  These  proposals  have  ranged  from  fundamentally  changing  federal  and  state  healthcare
reimbursement  programs,  including  providing  comprehensive  healthcare  coverage  to  the  public  under  government‑funded  programs,  to  minor
modifications to existing programs. One example is the Patient Protection and Affordable Care or the Affordable Care Act, the Federal healthcare reform
law enacted in 2010.

Healthcare reform initiatives will continue to be proposed, and may reduce healthcare related funding in an effort. It is impossible to predict the ultimate
content and timing of any healthcare reform legislation and its resulting impact on us. If significant reforms are made to the healthcare system in the United
States, or in other jurisdictions, those reforms may increase our costs or otherwise negatively effect on our financial condition and results of operations.

In April 2017, the European Parliament passed the Medical Devices Regulation (Regulation 2017/745), which repeals and replaces the European Union
Medical Devices Directive and the Active Implantable Medical Devices Directive. Unlike directives, which must be implemented into the national laws of
the  European  Economic  Area,  which  we  refer  to  as  the  EEA,  member  States,  the  regulations  would  be  directly  applicable,  i.e.,  without  the  need  for
adoption of EEA member State laws implementing them, in all EEA member States and are intended to eliminate current differences in the regulation of
medical  devices  among  EEA  member  States.  The  Medical  Devices  Regulation,  among  other  things,  is  intended  to  establish  a  uniform,  transparent,
predictable  and  sustainable  regulatory  framework  across  the  EEA  for  medical  devices  and  ensure  a  high  level  of  safety  and  health  while  supporting
innovation. The Medical Devices Regulation will, however, only become fully applicable three years after publication (in May 2020). Once applicable, the
Medical Devices Regulation will, among other things:

● strengthen the rules on placing devices on the market and reinforce surveillance once they are available;
● establish explicit provisions on manufacturers’ responsibilities for the follow‑up of the quality, performance and safety of devices placed on the

market;

● improve the traceability of medical devices throughout the supply chain to the end‑user or patient through a unique identification number;
● set up a central database to provide patients, healthcare professionals and the public with comprehensive information on products available in the

EU; and

● strengthen  rules  for  the  assessment  of  certain  high‑risk  devices,  such  as  implants,  which  may  have  to  undergo  an  additional  check  by  experts

before they are placed on the market.

Once applicable, the Medical Devices Regulation may impose increased compliance obligations for us to access the EU market.

We may incur additional costs if we do not comply with privacy, security and breach notification regulations.

We believe that we are not a covered entity nor a business associate of a covered entity and are not responsible for complying with the Health Insurance
Portability and Accountability Act of 1996, or HIPAA. Even though we likely are not a covered entity under HIPAA, we do have in place administrative,
technical and physical safeguards to protect the privacy and security of consumers’ personal information. We are required to comply with varying state
privacy, security and breach reporting laws. If we fail to comply with existing or new laws and regulations related to properly transferring data containing
consumers’ personal information, we could be subject to monetary fines, civil penalties or criminal sanctions. Also, there are other federal and state laws
that protect the privacy and security of consumers’ personal information, and we may be subject to enforcement by various governmental authorities and
courts resulting in complex compliance issues. We could incur damages under state laws pursuant to an action brought by a private party for the wrongful
use or disclosure of consumers’ personal information.

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Failure to comply with recent European data protection requirements could increase our costs.

The EU has adopted a comprehensive overhaul of its data protection regime from the prior national legislative approach to a single European Economic
Area Privacy Regulation called the General Data Protection Regulation, or GDPR, which came into effect on May 25, 2018. The new EU data protection
regime  extends  the  scope  of  the  EU  data  protection  law  to  all  foreign  companies  processing  data  of  EU  residents.  It  imposes  a  strict  data  protection
compliance regime with severe penalties of up to the greater of 4% of worldwide turnover and €20 million and includes new rights such as the “portability”
of personal data. Although the GDPR will apply across the EU without a need for local implementing legislation, as had been the case under the prior data
protection regime, local data protection authorities will still have the ability to interpret the GDPR, which has the potential to create inconsistencies on a
country‑by‑country  basis.  We  are  evaluating  these  new  requirements  and  implementing  a  plan  to  ensure  compliance.  Complying  with  the  enhanced
obligations imposed by the GDPR may result in significant costs to our business and require us to amend certain of our business practices. Further, we have
no  assurances  that  violations  will  not  occur,  particularly  given  the  complexity  of  the  GDPR,  as  well  as  the  uncertainties  that  accompany  new,
comprehensive legislation.

If we are not able to manufacture products in accordance with applicable requirements, it could adversely affect our business.

Our products must meet detailed specifications, performance standards and quality requirements. As a result, our products and the materials used in their
manufacture  or  assembly  undergo  regular  inspections  and  quality  testing.  Factors  such  as  defective  materials  or  processes,  mechanical  failures,  human
errors, environmental conditions, changes in materials or production methods, and other events or conditions could cause our products or the materials used
to produce or assemble our products to fail inspections and quality testing or otherwise not perform in accordance with our label claims or the expectations
of our customers.

If we are not able to meet the applicable specifications, performance standards, quality requirements or customer expectations could adversely affect our
ability to manufacture and sell our products or comply with regulatory requirements. These events could, in turn, adversely affect our revenues and results
of operations.

Healthcare fraud and abuse laws could adversely affect our business and results of operations.

There are various federal and state laws targeting fraud and abuse in the healthcare industry to which we are subject, including anti‑kickback laws, laws
constraining the sales, false claims laws, marketing and promotion of medical devices by limiting the kinds of financial arrangements that manufacturers of
these products may enter into with physicians, hospitals, laboratories and other potential purchasers of medical devices. There are other laws we are subject
to  that  require  us  to  report  certain  transactions  between  it  and  healthcare  professionals.  Violations  of  these  laws  are  punishable  by  criminal  or  civil
sanctions,  including  substantial  fines,  imprisonment  and  exclusion  from  participation  in  government  healthcare  programs.  Many  of  the  existing
requirements are new and have not been definitively interpreted by state authorities or courts, and available guidance is limited. We could face enforcement
action and fines and other penalties, and could receive adverse publicity, unless and until we are in full compliance with these laws, all of which could
materially harm us. Furthermore, changes in or evolving interpretations of these laws, regulations, or administrative or judicial interpretations, may require
us  to  change  our  business  practices  or  subject  our  business  practices  to  legal  challenges,  which  could  have  a  material  adverse  effect  on  our  business,
financial condition and results of operations.

Our compliance with regulations governing public companies is complex and expensive.

Public companies are subject to various laws and regulations, which have increased the scope, complexity and cost of corporate governance, reporting and
disclosure practices. For example, we are subject to the Sarbanes‑Oxley Act of 2002, The Dodd‑Frank Wall Street Reform and Consumer Protection Act
and the requirements of The NASDAQ Global Market. The implementation of certain aspects of these laws and regulations has required and will continue
to require substantial management time and oversight and may require us to incur significant additional accounting and legal costs. We continually review
changes with respect to new and proposed rules and cannot predict or estimate the amount of additional costs, and the timing of such costs, we may incur.
There are several interpretations of these laws and regulations, in many cases due to their lack of specificity, and as a result, their application in practice
may change as new guidance is provided by regulatory and governing bodies. This may result in continuing uncertainty regarding compliance matters and
higher costs. We are committed to maintaining high standards of corporate governance and public disclosure, but if we fail to comply with any of these
requirements, legal proceedings may be initiated against us, which may adversely affect our business.

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If we expand our international presence, it may increase our risks and expose our business to regulatory, cultural or other challenges.

We will continue to try to increase revenue derived from international sales of our products. There are several of factors that could adversely affect the
performance of our business and/or cause us to incur substantially increased costs because of our international presence and sales, including: (i) uncertainty
in the application of foreign laws and the interpretation of contracts with foreign parties; (ii) cultural and political differences that favor local competitors or
make  it  difficult  to  effectively  market,  sell  and  gain  acceptance  of  our  products;  (iii)  exchange  rates,  currency  fluctuations,  tariffs  and  other  barriers,
extended payment terms and dependence on international distributors or representatives; (iv) trade protection measures, trade sanctions and import/export
licensing requirements; (v) our inability to obtain or maintain regulatory approvals or registrations for our products; (vi) Economic conditions, political
instability, the absence of available funding sources, terrorism, civil unrest, war and natural disasters in foreign countries; (vii) Reduced protection for, or
enforcement of, our patents and other intellectual property rights in foreign countries; (viii) our inability to identify international distributors and negotiate
acceptable terms for distribution agreements; and (ix) restrictions on our ability to repatriate investments and earnings from foreign operations.

Economic, cultural and political conditions and foreign regulatory requirements may slow or prevent the manufacture of our products in countries other
than the United States. Interruption of the supply of our products could reduce revenues or cause us to incur significant additional expenses in finding an
alternative source of supply. Foreign currency fluctuations and economic conditions in foreign countries could also increase the costs of manufacturing our
products in foreign countries.

Risks Related to Ownership of Common Stock

Our Common Stock has limited liquidity, and investors may not be able to sell as much stock as they want at prevailing market prices or at all.

The liquidity of our Common Stock depends on several factors, including but not limited to our financial results and overall market conditions, so it is not
possible  to  predict  whether  this  level  of  liquidity  will  continue,  be  sustained,  or  decrease.  Decreased  trading  volume  in  our  stock  would  make  it  more
difficult  for  investors  to  sell  their  shares  in  the  public  market  at  any  given  time  at  prevailing  prices.  Our  management  and  larger  stockholders  exercise
significant control over our company.

The price of our Common Stock could continue to be volatile.

The price of our Common Stock has been volatile, subject to rapid and substantial decreases in stock price, and may be volatile in the future. By way of
example, on February 10, 2021, the price of our Common Stock closed at $7.92 per share while on February 17, 2021, our stock price closed at $6.94 per
share with no discernable announcements or developments by us or third parties. On February 12, 2021, the intra‑day sales price of our Common Stock
fluctuated between a reported low sale price of $6.96 and a reported high sales price of $7.45. The following factors, among others, could have a significant
impact  on  the  market  for  our  Common  Stock:  (1)  the  performance  of  our  business;  (2)  clinical  results  with  respect  to  our  products  or  those  of  our
competitors; (3) the gain or loss of significant contracts and availability of funding for the purchase of our products; (4) actions undertaken by the Congress
or  the  Presidential  Administration;  (5)  changes  in  our  relations  with  our  key  customers,  distributors  or  suppliers;  (6)  developments  in  patent  or  other
proprietary rights; (7) litigation or threatened litigation; (8) general market and economic conditions; (9) the relatively low trading volume for our Common
Stock; (10) changes in competition; (11) complaints or concerns about the performance or safety of our products and publicity about those issues, including
publicity expressed through social media or otherwise over the internet; (12) failure to achieve, or changes in, financial estimates by securities analysts and
comments or opinions about us by securities analysts or major stockholders; (13) announcement of regulatory or enforcement actions by the FDA or other
agencies against us, our products or our customers; (14) changes in our operating results; (15) terrorist attacks, civil unrest, war and national disasters; and
(16) other factors unrelated to our operating performance or prospects.

Overall, the stock market has experienced price and volume fluctuations that have affected the market price of our Common Stock, as well as the stock of
many  other  similar  companies.  Such  price  fluctuations  are  generally  unrelated  to  the  operating  performance  of  the  specific  companies  whose  stock  is
affected.

After the volatility in the market price of a company’s stock, class action litigation has occurred against the issuing company. If we were subject to this type
of litigation in the future, we could incur substantial costs and the attention and resources of our management could be diverted, each of which could have a
material adverse effect on our revenue and earnings. Any adverse determination in this type of litigation could also subject us to significant liabilities.

Our Common Stock may become the target of a “short squeeze.”

In the past several weeks prior to the filing of this Annual Report on Form 10‑K, securities of certain companies have increasingly experienced significant
and  extreme  volatility  in  stock  price  due  to  short  sellers  of  shares  of  common  stock,  known  as  a  “short  squeeze.”  Short  squeezes  have  caused  extreme
volatility  in  those  companies  and  in  the  market  and  have  led  to  the  price  per  share  of  those  companies  to  trade  at  a  significantly  inflated  rate  that  is
disconnected from the underlying value of the company. Sharp rises in a company’s stock price may force traders in a short position to buy the stock to
avoid even greater losses. Many investors who have purchased shares in those companies at an inflated rate face the risk of losing a significant portion of
their original investment as the price per share has declined steadily as interest in those stocks have abated. There can be no assurance that we will not, in
the  future  be,  a  target  of  a  short  squeeze,  and  you  may  lose  a  significant  portion  or  all  of  your  investment  if  you  purchase  our  shares  at  a  rate  that  is
significantly disconnected from our underlying value.

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Any future issuances of shares of our Common Stock by us could harm the price of our Common Stock and our ability to raise funds in new equity
offerings.

Any future sales of a substantial number of our shares of Common Stock or other equity‑related securities, or the perception that such sales may occur,
could  adversely  affect  the  price  of  our  Common  Stock,  and  could  impair  our  ability  to  raise  capital  through  future  offerings  of  equity  or  equity‑related
securities.

Sales of our Common Stock by existing stockholders, executive officers or directors could depress the market price of our Common Stock.

If  our  existing  stockholders,  officers  or  directors  sell  our  Common  Stock  in  the  public  market,  or  the  perception  that  such  sales  may  occur,  it  could
negatively affect the price of our Common Stock. We are unable to estimate the number of shares of our Common Stock that may actually be resold in the
public market since this will depend on the market price for our Common Stock, the individual circumstances of the sellers and other factors.

Institutional stockholders own significant amounts of our Common Stock. If one or more of these stockholders sell large portions of their holdings in a
relatively short time, the prevailing price of our Common Stock could be negatively affected. In addition, it is possible that one or more of our executive
officers or non‑employee members of our Board of Directors could sell shares of our Common Stock during an open trading window. These transactions
and the perceived reasons for these transactions could have a negative effect on the prevailing market price of our Common Stock.

We do not intend to pay cash dividends on our Common Stock.

We  do  not  expect  to  pay  any  cash  dividends  on  our  Common  Stock  and  currently  intend  to  retain  our  earnings,  if  any,  to  finance  the  expansion  of  our
business.  Therefore,  the  success  of  an  investment  in  our  Common  Stock  will  depend  entirely  upon  any  future  increase  in  value  of  our  Common  Stock.
There is no guarantee that our Common Stock will gain value or even maintain the price at which investors purchased their shares.

General Risk Factors

We  may  not  generate  the  expected  benefits  of  future  acquisitions  or  investments,  and  they  could  disrupt  our  ongoing  business,  distract  our
management, increase our expenses and negatively affect our business.

As a way for us to grow our business, we may pursue strategic acquisitions or investments. These activities, and their impact on our business, are subject to
many risks, including the following: (i) the benefits expected to be derived from an acquisition or investment may not materialize and could be affected by
numerous  factors,  such  as  regulatory  developments,  insurance  reimbursement,  our  inexperience  with  new  businesses  or  markets,  general  economic
conditions and increased competition; (ii) we may be unable to successfully integrate an acquired company’s personnel, assets, management, information
technology systems, accounting policies and practices, products and/or technology into our business; (iii) we may not be able to accurately forecast the
performance or ultimate impact of an acquired business; and (iv) an acquisition may result in the incurrence of unexpected expenses, stockholder lawsuits,
the  dilution  of  our  earnings  or  our  existing  stockholders’  percentage  ownership,  or  potential  losses  from  undiscovered  liabilities  not  covered  by  an
indemnification from the seller(s) of the acquired business.

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If these factors occur, we may be unable to achieve all or a significant part of the benefits expected from an acquisition or investment. This may adversely
affect our financial condition, results of operations and ability to grow our business or otherwise achieve our financial and strategic objectives.

Developments related to the U.K.’s referendum on membership in the E.U. could adversely affect us.

On June 23, 2016, the United Kingdom voted in favor of leaving the European Union, or E.U. On January 24, 2020, the U.K. and the E.U. entered into a
withdrawal agreement pursuant to which the U.K. formally left the E.U. on January 31, 2020,In December 2020, the U.K. and E.U. agreed on a trade and
cooperation that will provisionally apply after the end of the transition period until it is ratified by the parties to the agreement. On December 31, 2020, the
U.K. passed legislation giving effect to the trade and cooperation agreement. The E.U. is expected to formally adopt the agreement in early 2021. The trade
and cooperation agreement covers the general objectives and framework of the relationship between the U.K. and the E.U., including as it relates to trade,
transport, visas, judicial, law enforcement and security matters. Notably, under the trade and cooperation agreement, U.K. goods no longer benefit from the
free movement of goods, and there is no longer the free movement of people between the U.K. and the E.U.

Such a withdrawal from the E.U. is unprecedented, and it is unclear how the changes to U.K.’s access to the European single market for goods, capital,
services  and  labor  within  the  E.U.,  or  the  European  single  market,  and  the  wider  commercial,  legal  and  regulatory  environment,  will  impact  our  U.K.
operations.  We  may  also  face  new  regulatory  costs  and  challenges  that  could  have  an  adverse  effect  on  our  operations  and  development  programs.  For
example,  because  the  regulatory  framework  for  pharmaceutical  products  in  the  U.K.  covering  quality,  safety  and  efficacy  of  pharmaceutical  products,
clinical  studies,  marketing  authorization,  commercial  sales  and  distribution  of  pharmaceutical  products  is  derived  from  E.U.  directives  and  regulations,
Brexit  could  materially  impact  the  future  regulatory  regime  that  applies  to  products  and  the  approval  of  product  candidates  in  the  U.K.  Any  delay  in
obtaining, or an inability to obtain, any marketing approvals, as a result of Brexit or otherwise, may force us to restrict or delay efforts to seek regulatory
approval in the U.K. and/or E.U. for our product or gene therapy product candidate, which could significantly harm our business.

Given the lack of comparable precedent, it is unclear what financial, trade and legal implications the withdrawal of the United Kingdom from the E.U. will
have and how such withdrawal may affect us.

Legislative and other regulatory changes could have an effect on our business.

Changes in regulatory or economic conditions or in the laws and policies governing foreign trade, taxes, manufacturing, and development in the United
States  could  impact  our  business.  Economic  and  regulatory  changes  could  also  affect  foreign  currency  exchange  rates  which,  in  turn,  could  affect  our
reported financial results and our competitiveness on a worldwide basis.

Our business may be negatively affected by terrorist attacks or natural disasters.

Terrorist attacks or natural disasters could cause economic instability. These events could negatively affect economic conditions both within and outside the
United States and harm demand for our products. The operations of our customers and suppliers could be negatively impacted and eliminate, reduce or
delay our customers’ ability to purchase and use our products and our suppliers’ ability to provide raw materials and finished products.

Our  facilities,  including  some  pieces  of  manufacturing  equipment  and  our  computer  systems,  may  be  difficult  to  replace.  Various  types  of  disasters,
including fires, earthquakes, floods and acts of terrorism, may affect our facilities and computer systems. In the event our existing facilities or computer
systems are affected by man‑made or natural disasters, we may have difficulty operating our business and may be unable to manufacture products for sale
or meet customer demands or sales projections. If our manufacturing operations were curtailed or shut down entirely, it would seriously harm our business.

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ITEM 2.

PROPERTIES

Our  U.S.  manufacturing,  administrative  offices,  and  research  facilities  are  located  in  leased  space  in  Medford,  New  York,  pursuant  to  a  lease  covering
approximately 39,650 square feet and expiring on June 30, 2021.

On February 5, 2019, we entered into a commercial real estate lease for new corporate headquarters comprised of 70,000 square feet of office, research and
development, and warehouse space located in Hauppauge, New York. The lease has an initial term of eleven years that can be extended, at our option, for
two additional terms of five years each. Rent under the lease, which is payable in monthly installments, totals approximately $900,000 for the initial year
and then increases by approximately three percent each succeeding year.

On February 5, 2019, we also entered into an agreement to sublet the space at Holbrook, New York. The sublease has a term that (a) commenced on the
date we vacate the premises and (b) terminate on April 29, 2020. The sublessee has paid us 50% of our rent and additional rent payments, which will total
approximately  $100,000  per  year  during  the  term  of  the  sublease.  The  sublease  ran  conterminously  with  the  base  lease  in  Holbrook,  for  which  the
Company was primarily responsible until the end of the lease term in April 2020.

Our European headquarters and Center of Excellence for Optical Technology is located in leased office and manufacturing space in Berlin, Germany. Our
Southeast  Asia  manufacturing,  warehouse,  and  commercial  facilities  are  located  in  leased  space  in  Kuala  Lumpur,  Malaysia.  Our  Latin  America
manufacturing,  warehouse,  and  commercial  facilities  are  located  in  Rio  de  Janeiro,  Brazil.  We  regularly  review  our  real  estate  portfolio  and  develop
footprint strategies to support our customers’ global plans, while at the same time supporting our technical needs and controlling operating expenses.

ITEM 3.

LEGAL PROCEEDINGS

This information is set forth under “Note 12 – Commitments, Contingencies And Concentrations – Litigation” to the Consolidated Financial Statements of
this Annual Report on Form 10-K is incorporated herein by reference.

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PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF

EQUITY SECURITIES

Listing Information

Our stock is listed on the  NASDAQ Global Select Market of the NASDAQ Stock Market LLC under the symbol “CEMI.”

Holders

As of March 1, 2021, there were 115 record owners of our Common Stock (including nominee holders such as banks and brokerage firms who hold shares
for beneficial owners).

Recent Sales of Unregistered Securities

During the year ended December 31, 2020, we issued unregistered securities in connection with the acquisition of Orangelife. See Note 3 - Acquisitions,
for further discussion.

Issuer Purchases of Equity Securities

We did not repurchase any of our equity securities during the year ended December 31, 2020.

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ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

We  develop,  manufacture  and  commercialize  point-of-care  tests  for  the  detection  and  diagnosis  of  infectious  diseases,  including  COVID  19,  sexually
transmitted disease, and fever and tropical disease.

Our  product  portfolio  is  based  upon  our  proprietary  DPP  technology,  a  diagnostic  platform  that  provides  high-quality,  cost-effective  results  in  15  to  20
minutes  using  fingertip  blood,  nasal  swabs  and  other  sample  types.  The  DPP  technology  platform  addresses  the  rapid  diagnostic  test  market,  which
includes  infectious  diseases,  cardiac  markers,  cholesterol  and  lipids,  pregnancy  and  fertility,  and  drugs  of  abuse.  Compared  with  traditional  lateral  flow
technology, the DPP technology platform can provide enhanced sensitivity and specificity, advanced multiplexing capabilities and, with the DPP Micro
Reader, quantitative results.

We target the market for rapid diagnostic test solutions for infectious diseases, which is driven by the high prevalence of infectious diseases globally, an
increase  in  the  geriatric  population,  growing  demand  for  rapid  test  results,  and  advancements  in  multiplexing.  We  have  a  broad  portfolio  of  infectious
disease products, which prior to 2020 were focused principally on sexually transmitted disease and fever and tropical disease. In February 2020 we began
the process of shifting substantially all of our resources to leverage the DPP technology platform to address the acute and escalating need for diagnostic
testing for COVID-19.

Our  products  are  sold  globally,  directly  and  through  distributors,  to  medical  laboratories  and  hospitals,  governmental  and  public  health  entities,  non-
governmental organizations, medical professionals, and retail establishments. We continue to seek to expand our commercial distribution channels.

In 2020 we continued to invest in automating our test manufacturing processes, all of which are now based in the United States. Among other actions, we
expanded our manufacturing capabilities by validating and implementing automated lines. Our transition from manual to automated assembly is intended to
add capacity, reduce variable costs and improve product margins. In order to address challenging economic conditions and implement our business strategy,
we continued to execute a program to reduce operating expenses and better align our costs with revenues, including by eliminating positions that were no
longer aligned with our strategy.

Consolidated Results of Operations

The results of operations for the years ended December 31, 2020 and 2019 were as follows:

Year Ended December 31,
(in thousands)

2020

2019

TOTAL REVENUES

  $

32,470     

100%   $

34,464     

100%

COSTS AND EXPENSES:
Cost of product sales
Research and development expenses
Selling, general and administrative expenses
Severance and related costs
Acquisition costs

LOSS FROM OPERATIONS

OTHER (EXPENSE) / INCOME

23,874     
9,509     
21,038     
1,122     
63     
55,606     
(23,136)    

74%    
29%    
65%    
3%    
0%    
171%    
(71)%   

22,394     
8,538     
16,139     
—     
721     
47,792     
(13,328)    

(2,842)    

(9)%   

(847)    

LOSS BEFORE INCOME TAX BENEFIT

(25,978)    

(80)%   

(14,175)    

Income tax benefit
NET LOSS

457     
(25,521)    

  $

1%    
(79)%  $

500     
(13,675)    

Percentages in the table reflect the percent of total revenues.

Total Revenues

65%
25%
47%
0%
2%
139%
(39)%

(2)%

(41)%

1%
(40)%

Total revenues during 2020 were $32.5 million, a decrease of $2.0 million, or 5.8%, compared to 2019. The decrease in total revenues reflected a $4.1
million,  or  14%,  decrease  in  net  product  sales,  which  was  principally  comprised  of  (a)  lower  sales  in  Africa,  Latin  America,  and  the  United  States
associated with diminished funding and the closure of clinics for HIV testing due to the COVID-19 pandemic, offset in part by (b) The Company’s success
in achieving regulatory approvals for and selling the COVID-19 IgM/IgG Systems in Latin America and gains in Europe associated with our long term
agreement with UNICEF for our DPP Zika IgM/IgG and DPP ZCD IgM/IgG multiplex tests and Micro Readers. The decrease in net product sales was
offset in part by a $2.2 million, or 31.9%, increase in research and development and grant revenues relating to new government grants for the development,
and submission for U.S. regulatory approval, of DPP SARS-CoV-2 Antigen and DPP Respiratory Panel test systems.

Gross Product Margin

Cost of product sales is primarily comprised of material, labor, manufacturing overhead, depreciation and amortization, and freight and distribution costs.
Gross product margin is net product sales less cost of product sales, and gross product margin percentage is gross product margin as a percentage of net
product sales.

Gross product margin decreased by $5.6 million, or 86.2% compared to 2019. The following schedule calculates gross product margin:

 
 
 
 
 
 
 
 
 
 
 
   
     
 
   
     
 
 
   
      
  
   
      
  
   
      
  
   
      
  
   
   
   
   
   
 
   
   
 
   
      
  
   
      
  
   
 
   
      
  
   
      
  
   
 
   
      
  
   
      
  
   
Net product sales
Less: Cost of product sales
Gross product margin

Gross product margin %

  For the years ended December 31 

2020

2019

  Favorable/
  (unfavorable)     % Change  

(in thousands)
24,767 
  $
(23,874)    
  $
893 

3.6%   

28,845 
  $
(22,394)    
  $
6,451 

22.4%   

(4,078)    
(1,480)    
(5,558)    

(14.1)%
6.6%
(86.2)%

  $

  $

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In 2020 we invested in developing and offering products to address the COVID-19 pandemic, which we expect will have average selling prices greater than
those of our legacy products. We also continued to invest in automation in order to reduce our reliance on manual labor and improve our product margins
(see Q1’21 Restructuring Charge). The $5.6 million decrease in gross product margin was comprised of (a) $4.7 million from unfavorable product margins
and (b) $0.9 million from unfavorable product sales volume as described under “—Total Revenues” above. The $4.6 million decrease from unfavorable
product margins principally reflected the following:

● We incurred the cost of product sales for COVID-19 IgM/IgG Systems that were returned by customers following the Revocation.
● The Revocation precluded planned sales of COVID-19 IgM/IgG Systems to customers in the United States in the last three quarters of 2020 and
resulted in the deferral ,of certain customer opportunities for sales of COVID-19 IgM/IgG Systems outside the United States, which negatively
impacted our sales mix as we experienced (a) significantly lower sales in the United States, where we have our highest average selling prices, and
(b) outside the United States, a higher mix of sales in geographic regions with lower average selling prices.

● We  experienced  operational  inefficiencies,  including  those  triggered  by  the  Revocation  and  activities  related  to  qualifying  automated  lines  for
production  of  certain  products,  which  resulted  in  increased  cost  of  product  sales  as  we  substantially  shifted  our  production  from  COVID-19
products back to legacy products.

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Research and Development

This category includes costs incurred for clinical and regulatory affairs and other research and development, as follows:

Clinical and regulatory affairs
Other research and development
Total research and development

  For the years ended December 31    Favorable/

2020

2019

    (unfavorable)     % Change  

  $

  $

(in thousands)
1,061    $
8,448     
9,509    $

1,516    $
7,022     
8,538    $

455     
(1,426)    
(971)    

30.0%
(20.3)%
(11.4)%

The decrease in clinical and regulatory affairs costs for 2020 as compared to 2019 was primarily associated with reduced clinical trial costs following the
FDA’s granting of premarket approval for the DPP HIV-Syphilis test during 2020, offset in part by expenditures related to the DPP SARS-CoV-2 Systems.
The increase in other research and development costs was primarily related to costs associated with the development of the DPP SARS-CoV-2 Systems.

Selling, General and Administrative Expense

Selling,  general  and  administrative  expenses  include  administrative  expenses,  sales  and  marketing  costs  (including  commissions),  and  other  corporate
items. The $4.9 million, or 30%, increase in selling, general and administrative expenses for 2020 as compared to 2019    primarily  reflected  legal  costs
arising subsequent to the Revocation, costs from expanding our U.S. commercial organization, a full year of our Brazilian facility (which was acquired
during  the  fourth  quarter  of  2019),  and  facility  costs  related  to  the  COVID-19  pandemic,  offset  in  part  by  cost  savings  from  retrenching  our  Malaysia
facility and other restructuring actions taken during the first quarter of 2020.

Severance, Restructuring and other related costs

During the year ended December 31, 2020, the Company recognized $0.7 million in net severance expenses related to the departure of Chembio’s former
chief executive officer and the elimination of certain positions as part of its multi-faceted expense reduction program to reduce operating expenses. The
Company undertook actions to adjust the size and composition of the organization, including by removing positions that were non-essential in light of its
new business strategy, and to remove other expenses, all of which the Company expects will provide savings throughout, and after, 2020.

In light of market dynamics, the Company retrenched its Malaysian operations, including the termination of employment of its Malaysian workforce. The
Company  will  maintain  its  Malaysian  subsidiary  and  sustain  the  product  registrations  that  were  obtained  throughout  southeast  Asia,  with  the  benefit  of
having that entity and the WHO prequalification certified facility.

Based on these activities, the Company took restructuring actions totaling $0.4 million to realign and resize its production capacity and cost structure. All
expenses have been paid as of December 31, 2020.

Acquisition Costs

Acquisition costs include legal, due diligence, audit, and related costs associated with acquisitions. The $0.7 million decrease in acquisition costs for 2020
as compared to 2019 reflected the fact that we completed acquisitions in 2019 but not 2020.

Other (Expense) / Income

Other  (expense)  /  income    was  principally  comprised  of  interest  expense  net  of  interest  income.  Interest  expense  increased  by  $2.0  million  for  2020  as
compared to 2019, due to the interest paid on the term loan debt we incurred in September 2019.

Income Tax Benefit

For 2020 we recognized a tax benefit of $0.4 million primarily attributable to the loss generated by Chembio Diagnostics Germany. As of December 31,
2020 and 2019, the Company recorded a full valuation allowance against its net deferred tax assets.

Liquidity and Capital Resources

During the year ended December 31, 2020, we funded our business operations, including capital expenditures and working capital requirements, principally
from a public offering of common stock, which generated proceeds of $28.4 million (net of expenses), and from cash and cash equivalents. Our operations
used $18.9 million of cash. As of December 31, 2020, we had outstanding indebtedness of $20 million (carrying amount of $18.2 million) pursuant to the
Credit Agreement described under “—Sources of Funds—Credit Agreement” below.

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We continually evaluate our liquidity requirements, capital needs and availability of capital resources based on our operating needs and our planned growth
initiatives, particularly in the light of our shift in business focus to the DPP SARS-CoV-2 Systems. We believe our existing cash and cash equivalents will
be sufficient to meet our anticipated cash needs for at least the next twelve months. Our future working capital needs will depend on many factors,
including: the fact and timing of our receipt from the FDA of an EUA award for the DPP SARS-CoV-2 Antigen System and/or the DPP Respiratory Panel
System; the fact and timing of our receipt from the FDA of a CLIA waiver for the DPP HIV-Syphilis System; the rate of our business and revenue growth,
including our ability to successfully build distribution channels and commercialize the COVID-19 Diagnostic Test Systems in geographies (principally
Europe) covered by our CE-Marks for those products, particularly if we are able to resume commercialization of the COVID-19 Diagnostic Test Systems in
the United States; the occurrence and timing of regulatory approvals for other new products; the timing of our continuing automation of U.S.
manufacturing; and the timing of our investment in research and development as well as sales and marketing. If our sources of liquidity become insufficient
to fund the growth of our business, we may need to reduce the level or slow the timing of our growth plans, which would likely curtail or delay the growth
in our business contemplated by our operating plan and could impair or defer our ability to achieve profitability and generate cash flow, or to seek to raise
additional funds through debt or equity financings, strategic relationships, or other arrangements, to the extent funding would be available to us on
acceptable terms or at all. If we were to raise additional funds through the issuance of equity or convertible securities, the issuance could result in
substantial dilution to existing stockholders, and the holders of those new securities may have rights, preferences and privileges senior to those of the
holders of common stock.

Sources of Funds

Credit Agreement. On September 3, 2019, we, as borrower, and certain of our subsidiaries, as guarantors, entered into a Credit Agreement and Guaranty,
or the Credit Agreement, with Perceptive Credit Holdings II, LP, or the Lender.

● Principal  Amount.  The  Credit  Agreement  provides  for  a  $20,000,000  senior  secured  term  loan  credit  facility,  which  was  drawn  in  full  on
September 4, 2019. Under the terms of the Credit Agreement, we may use the proceeds for general working capital purposes and other permitted
corporate purposes, to refinance certain of our existing indebtedness and to pay fees, costs and expenses incurred in connection with the Credit
Agreement.

● Interest Rate. Principal outstanding under the Credit Agreement bears interest at a rate per annum equal to the sum of (a) the greater of the one-
month  London  Interbank  Offered  Rate  and  2.5%  plus  (b)  8.75%.  At  any  time  at  which  an  event  of  default  (as  described  under  “—Default
Provisions” below) has occurred and is continuing, the interest rate will increase by 4.0%. Accrued interest is payable on a monthly basis.

● Scheduled Repayment. No principal repayments are due prior to September 30, 2022, unless we elect to prepay principal as described under “—
Optional Prepayment” below or principal is accelerated pursuant to an event of default as described under “—Default Provisions” below. Principal
installments in the amount of $300,000 are payable on the last day of each of the eleven months from September 2022 through July 2023, and all
remaining principal is payable at maturity on September 3, 2023.

● Optional Prepayment. We may prepay outstanding principal from time to time, subject to payment of a premium on the prepaid principal amount
equal  to  10%  through  September  3,  2020,  8%  from  September  4,  2020  through  September  3,  2021,  and  4%  from  September  4,  2021  through
September 3, 2022. No premium will be due with respect to any prepayment made on or after September 4, 2022.

● Guaranties.  Our  subsidiaries  Chembio  Diagnostic  Systems  Inc.  and  Chembio  Diagnostics  Malaysia  Sdn  Bhd.  have  guaranteed,  and  the  Lender

from time to time may require our other subsidiaries to guarantee, our obligations under the Credit Agreement.

● Security. Our obligations under the Credit Agreement are secured by a first priority, perfected lien on substantially all of our property and assets,
including  our  equity  interests  in  our  subsidiaries.  Our  subsidiary  Chembio  Diagnostic  Systems  Inc.  has  secured  its  guarantee  of  our  Credit
Agreement obligations with a lien on substantially all of its assets, and the Lender from time to time may require Chembio Diagnostics Malaysia
Sdn Bhd. and any of our other subsidiaries that has guaranteed our Credit Agreement obligations to do the same.

● Representations and Warranties; Financial and Other Covenants. In the Credit Agreement we made customary representations and warranties as
well  as  customary  affirmative  and  negative  covenants,  including  covenants  limiting  additional  indebtedness,  liens,  guaranties,  mergers  and
acquisitions, substantial asset sales, investments and loans, sale and leasebacks, transactions with affiliates, and fundamental changes. The Credit
Agreement also contains financial covenants requiring that we maintain aggregate unrestricted cash of not less than $3,000,000 at all times and we
achieve specified minimum rolling four-quarter (“last twelve month”) total revenue amounts as of September 30, 2019 and the last day of each
calendar quarter thereafter. The minimum total revenue amounts, which range from $32.0 million to $50.1 million, were developed for purposes of
the  Credit  Agreement  and  do  not  reflect  the  internal  estimates  and  plans  used  by  our  management  and  board  of  directors  to  understand  and
evaluate  our  operating  performance,  to  establish  budgets,  and  to  establish  operational  goals  for  managing  our  business.  We  therefore  do  not
believe that the covenant requirements provide useful information to investors or others in enhancing an understanding of our future prospects.

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● Default Provisions. The Credit Agreement provides for customary events of default, including events of default based on non-payment of amounts
due under the Credit Agreement, defaults on other debt, misrepresentations, covenant breaches, changes of control, insolvency, bankruptcy and the
occurrence  of  a  material  adverse  effect  on  the  Company.  Upon  an  event  of  default  resulting  from  a  voluntary  or  involuntary  proceeding  for
bankruptcy, insolvency or receivership, the amounts outstanding under the Credit Agreement will become immediately due and payable and the
Lender’s  commitments  will  be  automatically  terminated.  Upon  the  occurrence  and  continuation  of  any  other  event  of  default,  the  Lender  may
accelerate  payment  of  all  obligations  and  terminate  the  Lender’s  commitments  under  the  Credit  Agreement.  Upon  an  acceleration  of  payment
following an event of default occurring prior to September 4, 2021, the amounts due and payable by us will include a prepayment premium on
accelerated principal in the amount described under “—Optional Prepayment” above.

We were in compliance with the cash balance and revenue financial covenants as of December 31, 2020.

Equity and Equity-Related Securities. We raised additional capital from an underwritten public offering of common stock in 2020 in the amount of $28.4
million (net of expenses).

Research  and  Development  Awards.  We  routinely  seek  research  and  development  programs  that  may  be  awarded  by  government,  non-governmental
organizations, and non-profit entities, including private foundations. Since 2015 we have received over $14.2 million of funding from some of the world’s
leading health organizations, which has helped us accelerate the expansion of our pipeline of infectious disease tests. Our collaborators have included Bill
&  Melinda  Gates  Foundation,  The  Paul  G.  Allen  Family  Foundation,  FIOCRUZ  and  FIND,  as  well  as  U.S.  government  agencies  such  as  Centers  for
Disease Control and Prevention, Biomedical Advanced Research and Development Authority or BARDA, and the U.S. Department of Agriculture. See
“Item 1. Business—Products” above. During the year ended December 31, 2020, we recognized grant revenue totaling $2 million from government, non-
governmental organizations, and non-profit entities.

Working Capital. The following table sets forth selected working capital information:

Cash and cash equivalents
Accounts receivable, net
Inventories, net
Prepaid expenses and other current assets

Total current assets

Less: Total current liabilities
Working capital

December 31,
2020
  (in thousands)  
23,066 
  $
3,377 
12,516 
779 
39,738 
12,351 
27,387 

  $

On December 2, 2020, we were awarded a contract of $12.7 million from BARDA to assist us in (a) developing, and requesting an EUA from the FDA for,
the DPP Respiratory Panel and (b) performing the clinical trials for and submitting the DPP SARS-CoV-2 Antigen system to the FDA for a 510(k).

Our  cash  and  cash  equivalents  at  December  31,  2020,  which  included  a  restricted  amount  of  $1.0  million,  were  held  for  working  capital  purposes.  We
currently  intend  to  retain  all  available  funds  and  any  future  earnings  for  use  in  the  operation  of  our  business  and  do  not  anticipate  paying  any  cash
dividends. We have not entered into, and do not expect to enter into, investments for trading or speculative purposes. Our accounts receivable and inventory
balances fluctuate from period to period, which affects our cash flow from operating activities. Fluctuations vary depending on cash collections, client mix,
raw material lead times, the mix of vendor terms, and the timing of shipment of our products and the invoicing of our research and development activities.

Uses of Funds

Cash Flow Used in Operating Activities. Our operations used $18.9 million of cash during the year ended December 31, 2020, primarily due to the net
loss adjusted for non-cash items of $7.3 million and a $6.5 million increase in inventory related to supply chain timelines, including materials for COVID-
19 systems that were ordered but could not be cancelled following the Revocation.  Those uses of cash were offset in part by a $3.9 million increase in
accounts payable and other accrued liabilities, a $1.5 million increase in deferred revenue, and a $0.3 million reduction in accounts receivable.

Capital Expenditures. Our capital expenditures totaled $4.2 million in 2020, of which $4.0 million related to investments in automated manufacturing
equipment, facilities, and other fixed assets.

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We have capital purchase obligations of $1.3 million related to additional automated manufacturing equipment with payments expected to come due during
2021 based on vendor performance milestones.

Effects of Inflation

Other than the impact of increases in minimum wage levels in New York, inflation and changing prices have not had a material effect on our business, and
we do not expect that they will materially affect our business in the foreseeable future. Any impact of inflation on cost of revenue and operating expenses,
especially employee compensation costs (including any effects of future increases in minimum wages levels in New York), may not be readily recoverable
in the price of our product offerings.

Q1’21 Restructuring Charge

On January 14, 2021, the Company’s Board of Directors (the “Board”) approved a restructuring plan (“2021 Plan”) to better align its business priorities.
The Plan comprises the termination of employees primarily in the manufacturing department. These actions were intended to better align the Company’s
cost  structure  with  the  skills  and  resources  required  to  more  effectively  pursue  opportunities  in  the  marketplace  and  execute  the  Company’s  long-term
growth strategy.

Costs associated with the 2021 Plan are primarily related to Severance and Legal costs. Severance payouts are expected to be substantially completed by
the end of the six months ending June 30, 2021. Under the 2021 Plan, the Company expects to incur pre-tax charges between approximately $0.1 million
and $0.2 million.

Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements, as defined in Item 303(a)(4)(ii) of Regulation S-K under the Securities Exchange Act of 1934.

Significant Accounting Policies and Critical Accounting Estimates

Our  significant  accounting  policies  are  described  in  Note  2  –  Significant  Accounting  Policies  to  the  audited  consolidated  financial  statements  included
herein.  Certain  of  our  accounting  policies  require  the  application  of  significant  judgment  by  management  in  selecting  the  appropriate  assumptions  for
calculating  financial  estimates.  By  their  nature,  these  judgments  are  subject  to  an  inherent  degree  of  uncertainty.  These  judgments  are  based  on  our
historical experience, terms of existing contracts, our evaluation of trends in the industry, information provided by our customers and information available
from other outside sources, as appropriate. We consider an accounting estimate to be critical if (a) it requires us to make assumptions about matters that
were uncertain at the time we were making the estimate and (b) changes in the estimate or different estimates that we could have selected would have had a
material impact on our financial condition or results of operations.

The following listing is not intended to be a comprehensive list of all of our accounting policies.  In many cases, the accounting treatment of a particular
transaction  is  specifically  dictated  by  accounting  principles  generally  accepted  in  the  United  States,  with  no  need  for  management’s  judgment  in  their
application. There are also areas in which management’s judgment in selecting any viable alternative would not produce a materially different result.

Revenue Recognition

We  recognize  revenue  for  product  sales  in  accordance  with  Financial  Accounting  Standards  Board  Accounting  Standards  Codification,  or  ASC,  606,
Revenue from Contracts with Customers. Revenues from product sales are recognized when the customer obtains control of our product, which occurs at a
point in time, typically upon tendering to the customer. We expense incremental costs of obtaining a contract as and when incurred because the expected
amortization period of the asset that it would have recognized is one year or less or the amount is immaterial. Freight and distribution activities on products
are performed after the customer obtains control of the goods. We have made an accounting policy election to account for shipping and handling activities
that occur either when or after goods are tendered to the customer as a fulfillment activity, and therefore recognizes freight and distribution expenses in cost
of product sales. We exclude certain taxes from the transaction price (e.g., sales, value added and some excise taxes).

Product  revenue  reserves,  which  are  classified  as  a  reduction  in  product  revenue,  are  generally  related  to  discounts  and  returns.  Estimates  of  variable
consideration and the determination of whether to include estimated amounts in the transaction price are based on all information (historical, current, and
forecasted) that is reasonably available to the Company, taking into consideration the type of customer, the type of transaction, market events and trends,
and  the  specific  facts  and  circumstances  of  each  arrangement.  The  transaction  price,  which  includes  variable  consideration  reflecting  the  impact  of
discounts, allowances and returns may be subject to constraint and is included in the net sales price only to the extent that it is probable that a significant
reversal of the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts may ultimately differ from the Company’s
estimates. If actual results vary, the Company adjusts these estimates, which could have an effect on revenue and earnings in the period of adjustment.

For  applicable  contracts,  we  recognize  revenue  from  research  and  development,  milestone  and  grant  revenues  when  earned.    Grants  are  invoiced  after
expenses  are  incurred.  Revenues  from  projects  or  grants  funded  in  advance  are  deferred  until  earned.  For  certain  collaborative  research  projects,  we
recognize  revenue  by  defining  milestones  at  the  inception  of  the  agreement  and  applying  judgement  and  estimates  in  recognizing  revenue  for  relevant
contracts.

Stock-Based Compensation

We recognize the fair value of equity-based awards as compensation expense in our consolidated statement of operations. The fair value of restricted stock
and restricted stock unit awards are their fair value on the date of grant. The fair value of our stock option awards was estimated using a Black-Scholes
option  valuation  model.  This  valuation  model’s  computations  incorporate  subjective  assumptions,  such  as  the  expected  stock  price  volatility  and  the
estimated life of each award. The fair value of equity-based awards, after considering the effect of expected forfeitures, is then amortized, generally on a
straight-line basis, over the related vesting period of the option.

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Research and Development Costs

Research  and  development  activities  consist  primarily  of  new  product  development,  continuing  engineering  for  existing  products,  and  regulatory  and
clinical trial costs. Costs related to research and development efforts on existing or potential products are expensed/accrued as incurred.

Inventories

Inventories are stated at the lower of cost or net realizable value with cost being determined using a standard cost method, which approximates average
cost. Average cost consists primarily of material, labor and manufacturing overhead expenses (including fixed production-overhead costs). The Company
analyzes  its  inventory  levels  quarterly  and  writes  down,  in  the  applicable  period,  inventory  that  has  become  obsolete,  inventory  that  has  a  cost  basis  in
excess of its expected net realizable value and inventory in excess of expected customer demand. The Company also writes off, in the applicable period, the
costs related to expired inventory. Costs of purchased inventories are recorded using weighted-average costing.

Accounts Receivable

Our  policy  is  to  review  our  accounts  receivable  on  a  periodic  basis,  no  less  frequently  than  monthly.  On  a  quarterly  basis  an  analysis  is  made  of  the
adequacy of our allowance for doubtful accounts and adjustments are made accordingly. The allowance was approximately 0.6% of accounts receivable as
of December 31, 2020.

Goodwill and Indefinite-lived Intangible Assets

We periodically review goodwill for impairment indicators. We review goodwill for impairment annually in the fourth quarter or more frequently if events
or changes in circumstances indicate that goodwill might be impaired. We perform the goodwill impairment review at the reporting unit level. We perform
a qualitative assessment of whether it is more likely than not that a reporting unit’s fair value is less than its carrying amount. If not, no further goodwill
impairment testing is performed. If so, we perform the step discussed hereafter. Our qualitative assessment involves significant estimates, assumptions, and
judgments, including, macroeconomic conditions, industry and market conditions, our financial performance, reporting unit specific events and changes in
our share price.

If the fair value of the reporting unit is greater than its carrying amount, goodwill is not considered to be impaired. We would recognize an impairment
charge  for  the  amount  by  which  the  carrying  amount  exceeds  the  reporting  unit’s  fair  value,  provided  the  impairment  charge  does  not  exceed  the  total
amount of goodwill allocated to the reporting unit.

Indefinite-lived intangible assets are tested for impairment annually during the first fiscal quarter of the year, and when events or changes in circumstances
indicate the assets might be impaired. Impairment is indicated when the carrying value of the intangible asset exceeds its fair value.

Recently Issued Accounting Pronouncements

Refer  to  Note  2  –  Significant  Accounting  Policies  to  the  audited  consolidated  financial  statements  included  herein  for  a  complete  description  of  recent
accounting standards that we have not yet been required to implement which may be applicable to our operations. Additionally, the significant accounting
standards that have been adopted during the year ended December 31, 2020 are described.

46

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ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The Consolidated Financial Statements and schedules that constitute Item 8 are attached at the end of this report.  An index to the Consolidated Financial
Statements and supplemental schedules are also included on page F-1 of this report.

ITEM 9A.

Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Interim Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure
controls and procedures, as defined by Rules 13a-15(e) and 15d-15(e) under the Exchange Act, as of December 31, 2020. Based on the evaluation of our
disclosure controls and procedures, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were
effective as of December 31, 2020 at the reasonable assurance level.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting
is defined in Rules 13a-15(f) and 15d-15(f) promulgated under the Securities Exchange Act of 1934 as a process designed by, or under the supervision of,
our Chief Executive Officer and Chief Financial Officer and effected by the board of directors, management and other personnel to provide reasonable
assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally
accepted accounting principles and includes those policies and procedures that:

● pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the

company;

● provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally
accepted  accounting  principles,  and  that  receipts  and  expenditures  of  the  company  are  being  made  in  accordance  with  authorizations  of
management and directors of the company; and

● provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that

could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  As  a  result,  even  those  systems
determined  to  be  effective  can  provide  only  reasonable  assurance  with  respect  to  financial  statement  preparation  and  presentation.  Projections  of  any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree
of compliance with the policies or procedures may deteriorate.

Under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, our management evaluated the effectiveness of
our  internal  control  over  financial  reporting  as  of  December  31,  2020.  In  making  their  assessment  of  internal  control  over  financial  reporting,  our
management used the criteria described in the 2013 Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission. Our evaluation included documenting, evaluating and testing of the design and operating effectiveness of our internal control over
financial reporting. Based on this evaluation, we concluded that our controls over financial reporting were effective as of December 31, 2020.

Previously Identified Material Weaknesses in Internal Control Over Financial Reporting

None.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting identified in management’s evaluation pursuant to Rules 13a-15(d) or 15d-15(d) of
the Securities Exchange Act of 1934 during the period covered by this Annual Report on Form 10-K that materially affected, or are reasonably likely to
materially affect, our internal control over financial reporting.

Inherent Limitations of Internal Control

Management,  including  the  Comapny’s  Chief  Excutive  Officer  and  Chief  Financial  Officer,  does  not  expect  that  the  Company’s  internal  controls  will
prevent or detect all errors and all fraud. A control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance
that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints and the
benefits of controls must be considered relative to their costs. Because of the inherent liminations in all control systems, no evaluation of internal control
can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. Also, any evaluation of the effectiveness of internal
controls in future periods are subject to the risk that those internal controls may become inadequate because of changes in business conditions, or that the
degree of compliance with the policies and procedures may deteriorate.

ITEM 9B.
None.

Other Information

47

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PART III

ITEM 10.

DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The  information  required  in  response  to  this  Item  10  is  incorporated  herein  by  reference  to  our  Definitive  Proxy  Statement  to  be  filed  with  the  SEC
pursuant to Regulation 14A of the Exchange Act not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

ITEM 11.

EXECUTIVE COMPENSATION

The  information  required  in  response  to  this  Item  11  is  incorporated  herein  by  reference  to  our  Definitive  Proxy  Statement  to  be  filed  with  the  SEC
pursuant to Regulation 14A of the Exchange Act not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

ITEM 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER
MATTERS

The  information  required  in  response  to  this  Item  12  is  incorporated  herein  by  reference  to  our  Definitive  Proxy  Statement  to  be  filed  with  the  SEC
pursuant to Regulation 14A of the Exchange Act not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

ITEM 13.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE.

The  information  required  in  response  to  this  Item  13  is  incorporated  herein  by  reference  to  our  Definitive  Proxy  Statement  to  be  filed  with  the  SEC
pursuant to Regulation 14A of the Exchange Act not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

ITEM 14.

PRINCIPAL ACCOUNTANT FEES AND SERVICES

The  information  required  in  response  to  this  Item  14  is  incorporated  herein  by  reference  to  our  Definitive  Proxy  Statement  to  be  filed  with  the  SEC
pursuant to Regulation 14A of the Exchange Act not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

48

Table of Contents

ITEM 15.

EXHIBITS, FINANCIAL STATEMENT SCHEDULES

(a) See “Item 8. Financial Statements and Supplementary Data – Index to Consolidated Financial Statements” above.

(b) Exhibits

Exhibit
No.

3.1
3.2
4.1

4.2
10.1(a)*
10.1(b)*
10.2(a)*
10.2(b)*
10.3
10.4*
10.5*
10.6*‡

Description

  Articles of Incorporation, as amended, of Chembio Diagnostics, Inc.
  Amended and Restated Bylaws, of Chembio Diagnostics, Inc.
  Warrant to Purchase Common Stock dated as of September 3, 2019, issued by Chembio Diagnostics, Inc. to Perceptive Credit Holdings II,

LP

  Description of Securities
  2008 Stock Incentive Plan, as amended
  Form of Option for 2008 Stock Incentive Plan
  2014 Stock Incentive Plan
  Form of Option for 2014 Stock Incentive Plan
  2019 Omnibus Incentive Plan
  Restated Annual Incentive Bonus Plan of Chembio Diagnostics, Inc., adopted as of March 15, 2019
  Outside Director Compensation Policy of Chembio Diagnostics, Inc.
  Employment Agreement, dated as of March 4, 2020 and effective as of March 16, 2020, between Chembio Diagnostics, Inc. and Richard L.

Eberly

10.7(a)*
10.7(b)*

  Employment Agreement dated March 5, 2016 between Chembio Diagnostics, Inc. and Javan Esfandiari
  Amendment No. 1 dated March 20, 2019 between Chembio Diagnostics, Inc. and Javan Esfandiari, amending the Employment Agreement

dated March 5, 2016

10.8(a)*
10.8(b)*

  Employment Agreement dated December 18, 2017 between Chembio Diagnostics, Inc. and Neil A. Goldman
  Amendment No. 1 dated January 21, 2019 between Chembio Diagnostics, Inc. and Neil A. Goldman, amending Employment Agreement

dated December 18, 2017

10.9*

  Offer Letter dated October 19, 2016 between Worldwide Workplace Ireland and Robert Passas, with respect to employment by Chembio

Diagnostics Systems, Inc.

10.10(a)

  Lease  Agreement,  dated  February  15,  2017,  between  Horseblock  Associates  and  Chembio  Diagnostics,  Inc.  with  respect  to  3661

Horseblock Road, Medford, New York, as amended

10.10(b)

  Agreement of Sublease dated February 5, 2019 between Chembio Diagnostic Systems Inc., as sublessor, and Reliance Communications of

New Jersey, LLC, as sublessee, with respect to 3661 Horseblock Road, Medford, New York, as amended

10.11

  Lease Agreement, dated February 4, 2013, between Sherwood Corporate Center LLC and Chembio Diagnostics, Inc. with respect to 91-1A

Colin Drive, Holbrook, New York, as amended on September 19, 2017

10.12

  Lease Agreement dated February 5, 2019 between Myra Properties, LLC, as lessor, and Chembio Diagnostic Systems Inc., as lessee, with

respect to 555 Wireless Boulevard, Hauppauge, New York.

10.13†

10.14*‡
10.15*
14.1
21.1
22.1
23.1
31.1
31.2
32.1**

  Credit Agreement and Guaranty dated as of September 3, 2019, among Chembio Diagnostics, Inc., as the Borrower, the Guarantors from
time to time party thereto, and Perceptive Credit Holdings II, LP and its successors and assigns party thereto, as Administrative Agent and
as a Lender

  Letter agreement dated June 15, 2020 between Chembio Diagnostics, Inc. and Gail S. Page
  Amendment No. 1, dated June 30, 2020, to the letter agreement dated June 15, 2020 between Chembio Diagnostics, Inc. and Gail S. Page
  Ethics Policy
  List of Subsidiaries of Chembio Diagnostics, Inc.
  Consent of EY, Independent Registered Public Accounting Firm
  Consent of BDO USA, LLP, Independent Registered Public Accounting Firm
  Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906

of the Sarbanes-Oxley Act of 2002

  XBRL Instance Document

101.INS
101.SCH   XBRL Taxonomy Extension Schema Document
101.CAL
101.DEF
101.LAB
101.PRE
104

  XBRL Taxonomy Extension Calculation Linkbase Document
  XBRL Taxonomy Definition Linkbase Document
  XBRL Taxonomy Label Linkbase Document
  XBRL Taxonomy Presentation Linkbase Document
  Cover Page Interactive Data File (embedded within the Inline XBRL document)

*
†

‡

**

Indicates management contract or compensatory plan.
Certain  exhibits  and  schedules  have  been  omitted  pursuant  to  Item  601(a)(5)  of  Regulation  S-K.  We  hereby  undertake  to  furnish  copies  of  the
omitted  exhibits  and  schedules  upon  request  by  the  Securities  and  Exchange  Commission,  provided  that  we  may  request  confidential  treatment
pursuant to Rule 24b-2 of the Securities Exchange Act of 1934 for the exhibits and schedules so furnished.
Certain sensitive personally identifiable information in this exhibit was omitted by means of redacting a portion of the text and replacing it with
[***].
The certifications attached as Exhibit 32.1 accompany the Annual Report on Form 10-K pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section  906  of  the  Sarbanes-Oxley  Act  of  2002,  and  shall  not  be  deemed  “filed”  by  the  registrant  for  purposes  of  Section  18  of  the  Securities
Exchange Act of 1934, as amended.

49

 
Table of Contents

SIGNATURES

In  accordance  with  Section  13  or  15(d)  of  the  Exchange  Act,  the  registrant  has  caused  this  report  to  be  signed  on  its  behalf  by  the  undersigned,

thereunto duly authorized.

March 11, 2021

CHEMBIO DIAGNOSTICS, INC.

By

/s/ Richard L. Eberly
Richard L. Eberly
Chief Executive Officer and President

In accordance with the requirements of the Exchange Act, this report has been signed below by the following persons on behalf of the registrant and in

the capacities and on the dates indicated.

Signatures

Title

  Chief Executive Officer and President

(Principal Executive Officer)

Date

  March 11, 2021

/s/ Richard L. Eberly
Richard L. Eberly

/s/ Neil A. Goldman
Neil A. Goldman

/s/ Katherine L. Davis
Katherine L. Davis

/s/ David W. K. Acheson
David W. K. Acheson

/s/ David W. Bespalko
David W. Bespalko

/s/ Mary Lake Polan
Mary Lake Polan

/s/ John G. Potthoff
John G. Potthoff

  Executive Vice President and Chief Financial Officer

  March 11, 2021

(Principal Financial & Accounting Officer)

  Chair of the Board

  Director

  Director

  Director

  Director

50

  March 11, 2021

  March 11, 2021

  March 11, 2021

  March 11, 2021

  March 11, 2021

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
Index to Consolidated Financial Statements

—INDEX—

Reports of Independent Registered Public Accounting Firm

Consolidated Financial Statements:

Balance Sheets as of December 31, 2020 and 2019

Statements of Operations for the years ended December 31, 2020 and 2019

Statements of Comprehensive Loss for the years ended December 31, 2020 and 2019

Statements of Changes in Stockholders’ Equity for the years ended December 31, 2020 and 2019

Statements of Cash Flows for the years ended December 31, 2020 and 2019

Notes to Consolidated Financial Statements

Pages
F-1 and F-2

F-3

F-4

F-5

F-6

F-7

F-8 - F-28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

To the Stockholders and the Board of Directors of Chembio Diagnostics, Inc.

Report of Independent Registered Public Accounting Firm

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheet of Chembio Diagnostics, Inc. (and subsidiaries) (the Company) as of December 31, 2020,
the related consolidated statements of operations, comprehensive loss, stockholders’ equity and cash flows for the year ended December 31, 2020, and the
related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all
material  respects,  the  financial  position  of  the  Company  at  December  31,  2020,  and  the  results  of  its  operations  and  its  cash  flows  for  the  year  ended
December 31, 2020, in conformity with U.S. generally accepted accounting principles.

Basis for Opinion

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial
statements based on our audit. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB)
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations
of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor
were we engaged to perform, an audit of its internal control over financial reporting. As part of our audit we are required to obtain an understanding of
internal  control  over  financial  reporting  but  not  for  the  purpose  of  expressing  an  opinion  on  the  effectiveness  of  the  Company’s  internal  control  over
financial reporting. Accordingly, we express no such opinion.

Our  audit  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  financial  statements,  whether  due  to  error  or  fraud,  and
performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in
the  financial  statements.  Our  audit  also  included  evaluating  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as
evaluating the overall presentation of the financial statements. We believe that our audit provides a reasonable basis for our opinion.

Critical Audit Matter

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  financial  statements  that  was  communicated  or
required to be communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the financial statements and (2)
involved our especially challenging, subjective or complex judgments. The communication of the critical audit matter does not alter in any way our opinion
on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion
on the critical audit matter or on the account or disclosure  to which it relates.

Description of the
Matter

How We Addressed
the Matter in Our
Audit

Revenue Recognition – Variable Consideration
For the year ended December 31, 2020, the Company recognized $24.8 million of net product revenue. As discussed in
Note  2  to  the  consolidated  financial  statements,  variable  consideration,  which  includes  the  effect  of  estimated  future
returns, is included in the transaction price only to the extent that it is probable that a significant reversal in the amount
of the cumulative revenues recognized will not occur when the uncertainty associated with the variable consideration is
subsequently resolved.

Auditing  the  Company’s  measurement  of  variable  consideration  related  to  future  returns  was  especially  complex  and
involved  a  higher  degree  of  subjectivity  due  to  the  significant  estimation  uncertainty.  The  estimation  of  variable
consideration was dependent upon significant assumptions such as the probability of future returns and the likelihood of
changes  in  approval  by  regulatory  agencies.  Changes  in  management’s  significant  assumptions  can  have  a  material
effect on the amount and timing of revenue recognized.

To  test  the  estimation  of  variable  consideration,  our  audit  procedures  included,  among  others,  the  evaluation  of  the
completeness  of  the  underlying  data  used  in  management’s  calculation  and  testing  the  significant  assumptions
described above. For example, these procedures included evaluating the likelihood of changes in regulatory approval,
inspection of Company’s correspondences with the third parties and regulatory agencies, and corroborating inquiries of
the Company’s operational personnel in order to support management’s assumptions. We also tested subsequent cash
collection for products shipped to third party customers and performed a lookback analysis comparing actual product
returns to the reserve established by management.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 2020.
Jericho, New York
March 11, 2021

F-1

 
 
 
 
 
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Report of Independent Registered Public Accounting Firm

Shareholders and Board of Directors
Chembio Diagnostics, Inc.
Hauppauge, New York

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheet of Chembio Diagnostics, Inc. (the “Company”) and subsidiaries as of December 31, 2019,
the related consolidated statements of operations, comprehensive loss, changes in stockholders’ equity, and cash flows the year then ended, and the related
notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material
respects, the financial position of the Company and subsidiaries at December 31, 2019, and the results of their operations and their cash flows for the year
ended December 31, 2019, in conformity with accounting principles generally accepted in the United States of America.

Change in Accounting Principle

On  January  1,  2019,  the  Company  changed  its  method  of  accounting  for  leases  due  to  the  adoption  of  Accounting  Standards  Codification  Topic  842,
Leases. The effects of the adoption are described in Note 3 to the consolidated financial statements.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
consolidated financial statements based on our audit. We are a public accounting firm registered with the Public Company Accounting Oversight Board
(United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the consolidated financial statements are free of material misstatement, whether due to error or fraud.

Our  audit  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  consolidated  financial  statements,  whether  due  to  error  or
fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and
disclosures in the consolidated financial statements. Our audit also included evaluating the accounting principles used and significant estimates made by
management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audit provides a reasonable basis
for our opinion.

/s/ BDO USA, LLP

We served as the Company's auditor from 2011 to 2019.

Melville, NY
March 13, 2020

F-2

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CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
AS OF

CURRENT ASSETS:
Cash and cash equivalents
Accounts receivable, net of allowance for doubtful accounts of $296,793 and $62,000 at December 31, 2020 and

- ASSETS -

2019, respectively

Inventories, net
Prepaid expenses and other current assets
TOTAL CURRENT ASSETS

FIXED ASSETS:
Property, plant and equipment, net
Finance lease right-of-use assets, net

OTHER ASSETS:
Operating right-of-use assets, net
Intangible assets, net
Goodwill
Deposits and other assets

TOTAL ASSETS

- LIABILITIES AND STOCKHOLDERS’ EQUITY -

CURRENT LIABILITIES:
Accounts payable and accrued liabilities
Deferred revenue
Notes Payable
Operating lease liabilities
Finance lease liabilities
TOTAL CURRENT LIABILITIES

OTHER LIABILITIES:
Long-term operating lease liabilities
Long-term finance lease liabilities
Long-term debt, less current portion, net
Deferred tax liability

TOTAL LIABILITIES

December 31,

2020

2019

  $

23,066,301    $

18,271,352 

3,377,387     
12,516,402     
778,683     
39,738,773     

3,661,325 
9,598,030 
693,013 
32,223,720 

8,688,403     
233,134     

5,933,569 
210,350 

6,112,632     
3,645,986     
5,963,744     
509,342     

7,030,744 
3,914,352 
5,872,690 
543,539 

  $

64,892,014    $

55,728,964 

  $

10,042,790    $
1,606,997     
-     
642,460     
58,877     
12,351,124     

5,526,243 
125,000 
180,249 
568,294 
41,894 
6,441,680 

6,327,143     
185,239     
18,182,158     
69,941     

6,969,603 
171,953 
17,644,149 
466,326 

37,115,605     

31,693,711 

COMMITMENTS AND CONTINGENCIES (Note 12)

STOCKHOLDERS’ EQUITY:
Preferred stock – 10,000,000 shares authorized, none outstanding
Common stock - $0.01 par value; 100,000,000 shares authorized, 20,223,498 and 17,733,617 shares issued and

outstanding at December 31, 2020 and 2019, respectively

Additional paid-in capital
Accumulated deficit
Treasury stock – 41,141 and 0 shares at cost, at December 31, 2020 and 2019, respectively
Accumulated other comprehensive income
TOTAL STOCKHOLDERS’ EQUITY

-     

- 

202,235     
124,961,514     
(97,106,331)    
(190,093)    
(90,916)    
27,776,409     

177,335 
95,433,077 
(71,585,003)
- 
9,844 
24,035,253 

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

  $

64,892,014    $

55,728,964 

See accompanying notes to consolidated financial statements

F-3

 
 
 
 
   
 
   
     
 
   
     
 
   
   
   
   
 
   
      
  
   
      
  
   
   
 
   
      
  
   
      
  
   
   
   
   
 
   
      
  
 
 
   
      
  
   
      
  
   
   
   
   
   
 
   
      
  
   
      
  
   
   
   
   
 
   
      
  
   
 
   
      
  
   
     
 
 
   
      
  
   
      
  
   
   
   
   
   
   
   
 
   
      
  
CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED

Table of Contents

REVENUES:
Product revenue
R&D revenue
Government grant income
License and royalty revenue
TOTAL REVENUES

COSTS AND EXPENSES:
Cost of product sales
Research and development expenses
Selling, general and administrative expenses
Severance and related costs
Acquisition costs

LOSS FROM OPERATIONS

OTHER (EXPENSE) INCOME:
Interest expense, net

LOSS BEFORE INCOME TAX BENEFIT

Income tax benefit

NET LOSS

Basic and diluted loss per share

December 31,

2020

2019

  $

24,767,149    $
4,851,562     
2,018,924     
832,562     
32,470,197     

28,844,997 
4,025,538 
654,744 
938,753 
34,464,032 

23,874,487     
9,508,494     
21,037,701     
1,122,310     
63,497     
55,606,489     
(23,136,292)    

22,394,317 
8,538,416 
16,138,424 
- 
721,465 
47,792,622 
(13,328,590)

(2,841,830)    

(846,831)

(25,978,122)    

(14,175,421)

456,794     

500,292 

  $ (25,521,328)   $ (13,675,129)

  $

(1.34)   $

(0.81)

Weighted average number of shares outstanding, basic and diluted

19,085,691     

16,954,142 

See accompanying notes to consolidated financial statements

F-4

 
 
 
 
   
 
   
     
 
   
   
   
   
 
   
      
  
   
      
  
   
   
   
   
   
 
   
   
 
   
      
  
   
      
  
   
 
   
      
  
   
 
   
      
  
   
 
   
      
  
 
   
      
  
 
   
      
  
   
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CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
FOR THE YEARS ENDED

Net loss
Other comprehensive loss:

Foreign currency translation adjustments

COMPREHENSIVE LOSS

See accompanying notes to consolidated financial statements

F-5

December 31,

2020

2019

  $ (25,521,328)   $ (13,675,129)

(100,760)    

(102,352)
  $ (25,622,088)   $ (13,777,481)

 
 
 
 
   
 
 
   
     
 
   
      
  
   
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CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019

Common Stock

Shares

    Amount  

Additional
Paid-in-Capital
Amount

Treasury Stock

Shares

    Amount

Accumulated
Deficit
Amount

AOCI
Amount

Total
Amount

Balance at December 31,

2018

    17,166,459    $ 171,664    $

90,953,788     

-    $

-    $ (57,909,874)   $

112,196    $ 33,327,774 

Common Stock:

Restricted stock issued
Restricted stock
compensation

Issuance of common
stock for business
acquired

Options:

Exercised
Stock option

compensation

Warrants and Other:

Warrant on Term Debt
Contingent Earnout for
business acquired

Comprehensive loss

Net loss

Balance at December 31,

381,908     

3,819     

(128,081)    

-     

-     

1,394,812     

-     

-     

-     

-     

-     

-     

-     

(124,262)

-     

1,394,812 

153,707     

1,537     

441,754     

-     

-     

-     

-     

443,291 

31,543     

315     

32,171     

-     

-     

261,088     

-     

-     

-     

-     

-     

1,196,093     

-     

1,281,452     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

-     

32,486 

-     

261,088 

-     

1,196,093 

-     

1,281,452 

-     

(102,352)    

(102,352)

-      (13,675,129)    

-      (13,675,129)

2019

    17,733,617    $ 177,335    $

95,433,077     

-    $

-    $ (71,585,003)   $

9,844    $ 24,035,253 

Common Stock:

Issuance of stock, net
Restricted stock issued
Restricted stock

compensation, net
Shares tendered for
withholding taxes

Options:

Exercised
Stock option

compensation

    2,619,593     
81,773     

26,196     
819     

28,410,544     
128,356     

(470,174)    

(4,702)    

617,919     

-     

-     

(296,667)    

5,528     

55     

(55)    

-     

-     

480,779     

Warrants exercised

253,161     

2,532     

(2,532)    

-     
-     

-     

-     

-     

-     

-     
-     

-     

-     

-     

-     

-     
-     

-     

-     

-     

-     

-     

-      28,436,740 
129,175 
-     

-     

613,217 

-     

(296,667)

- 

-     

480,779 

-     

-     

- 

- 

Treasury stock

Comprehensive loss

Net loss

Balance at December 31,

-     

-     

-     

-     

-     

-     

190,093     

(41,141)    

(190,093)    

-     

-     

-     

-     

-     

-     

(100,760)    

(100,760)

-      (25,521,328)    

-      (25,521,328)

2020

    20,223,498    $ 202,235    $

124,961,514     

(41,141)   $ (190,093)   $ (97,106,331)   $

(90,916)   $ 27,776,409 

See accompanying notes to consolidated financial statements

F-6

 
   
     
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
   
      
      
      
      
      
      
      
  
   
      
      
      
      
      
      
      
  
   
   
   
 
   
      
      
      
      
      
      
      
  
   
      
      
      
      
      
      
      
  
   
   
 
   
      
      
      
      
      
      
      
  
   
      
      
      
      
      
      
      
  
   
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
 
   
      
      
      
      
      
      
      
  
   
      
      
      
      
      
      
      
  
   
   
   
 
   
      
      
      
      
      
      
      
  
   
      
      
      
      
      
      
      
  
   
      
      
      
      
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
   
 
   
      
      
      
      
      
      
      
  
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CHEMBIO DIAGNOSTICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED

CASH FLOWS FROM OPERATING ACTIVITIES:
Cash received from customers and grants
Cash paid to suppliers and employees
Cash paid for operating leases
Cash paid for finance leases
Interest and taxes, net
Net cash used in operating activities

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of businesses, net of cash acquired
Acquisition of and deposits on fixed assets
Patent Application Costs
Working capital adjustment related to business combination
Net cash used in investing activities

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from sale of common stock, net
Proceeds from option exercises
Principal payments for finance leases
Payments on debt issuance costs
Payments on note payable
Proceeds from issuance of long-term debt, net
Stimulus package loan
Payment of stimulus package loan
Payments of tax withholdings on stock award
Net cash provided by financing activities

Effect of exchange rate changes on cash
INCREASE IN CASH AND CASH EQUIVALENTS
Cash and cash equivalents - beginning of the period

December 31,

2020

2019

  $

34,736,133    $
(50,238,409)    
(1,139,944)    
(19,987)    
(2,225,031)    
(18,887,238)    

37,930,172 
(45,655,562)
(632,952)
(7,892)
(689,272)
(9,055,506)

-     
(3,961,369)    
(205,493)    
-     
(4,166,862)    

(100,000)
(3,502,540)
(297,006)
145,760 
(3,753,786)

28,436,740     
-     
(51,166)    
-     
(180,249)    
-     
2,978,315     
(2,978,315)    
(441,723)    
27,763,602     

- 
32,486 
(19,875)
(186,313)
(181,822)
18,850,000 
- 
- 
- 
18,494,476 

85,447     
4,794,949     
18,271,352     

61,617 
5,746,801 
12,524,551 

Cash and cash equivalents - end of the period

  $

23,066,301    $

18,271,352 

RECONCILIATION OF NET LOSS TO NET CASH USED IN OPERATING ACTIVITIES:

Net Loss
Adjustments:

Depreciation and amortization
Share based compensation
Benefit from deferred tax liability
Provision for doubtful accounts
Non-cash inventory changes

Changes in assets and liabilities, net of effects from acquisitions:

Accounts receivable
Inventories
Prepaid expenses and other current assets
Deposits and other assets
Accounts payable and accrued liabilities
Deferred revenue

Net cash used in operating activities

Supplemental disclosures for non-cash investing and financing activities:
Deposits on manufacturing equipment transferred to fixed assets
Issuance of common stock for net assets of business acquired
Contingent liability earnout

  $ (25,521,328)   $ (13,675,129)

2,697,126     
1,223,171     
(396,385)    
270,193     
3,543,515     

283,939     
(6,461,887)    
(85,670)    
34,195     
4,043,896     
1,481,997     
  $ (18,887,238)   $

1,916,194 
1,655,900 
(513,715)
20,000 
- 

3,764,045 
(1,457,612)
64,355 
(90,624)
(441,015)
(297,905)
(9,055,506)

  $

472,651    $
–     
1,011,261     

430,000 
443,291 
1,225,000 

See accompanying notes to consolidated financial statements

F-7

 
 
 
 
   
 
   
     
 
   
   
   
   
   
 
   
      
  
   
      
  
   
   
   
   
   
 
   
      
  
   
      
  
   
   
   
   
   
   
   
   
   
   
 
   
      
  
   
   
   
 
   
      
  
 
   
      
  
   
      
  
 
   
      
  
   
      
  
   
   
   
   
   
   
      
  
   
   
   
   
   
   
 
   
      
  
   
      
  
   
   
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NOTE 1 — DESCRIPTION OF BUSINESS:

Chembio Diagnostics, Inc. (“Chembio”) and its subsidiaries (collectively with Chembio, the “Company”) develop and commercialize point-of-care rapid
tests used for the detection and diagnosis of infectious diseases, including COVID-19, sexually transmitted disease, and fever and tropical disease. Coupled
with  the  Company’s  extensive  scientific  expertise,  its  novel  DPP  technology  offers  broad  market  applications  beyond  infectious  disease.  Chembio’s
products are sold globally, directly and through distributors, to hospitals and clinics, physician offices, clinical laboratories, public health organizations,
government agencies, and consumers under the Company’s DPP, STAT PAK, SURE CHECK and STAT-VIEW registered trademarks or under the private
labels of the Company’s marketing partners.

The Company has been expanding its product portfolio based upon its proprietary DPP technology platform that provides high-quality, rapid diagnostic
results in 15 to 20 minutes using a small drop of blood from the fingertip or alternative samples. Through advanced multiplexing, the DPP platform can
detect up to eight, distinct test results from a single patient sample, which can deliver greater clinical value than other rapid tests. For certain applications,
Chembio’s  easy-to-use,  highly  portable,  battery-operated  DPP  Micro  Reader  optical  analyzer  then  reports  accurate  results  in  approximately  15  seconds,
making it well-suited for decentralized testing where real-time results enable patients to be clinically assessed while they are still onsite. Objective results
produced by the DPP Micro Reader can reduce the possibility of the types of human error that can be experienced in the visual interpretations required by
many rapid tests.

All DPP tests are developed and manufactured in the United States and are the subject of a range of domestic and global patents and patents pending.

During  2020,  the  Company  refocused  its  business  strategy  on  the  development  and  commercialization  of  the  DPP  COVID-19  IgM/IgG  System,  which
consists of a new serological test for COVID-19 and a Micro Reader analyzer. In the twelve months ended December 31, 2020, the Company developed,
received regulatory approval in the US, Brazil and Europe, and commercialized the DPP COVID-19 IgM/IgG System, which provided numerical readings
for both IgM and IgG levels of antibodies to the virus, and began developing its strategy for a portfolio of products both related to and expanding beyond
COVID-19. On June 16, 2020, the U.S. FDA Food and Drug Administration (the “FDA”) revoked the Company’s Emergency Use Authorization (“EUA”)
for the DPP COVID-19 System in the U.S., and the Company immediately began developing a revised version. The Company submitted an application for
EUA to the FDA for its new rapid antibody test system, DPP SARS-CoV-2 IgM/IgG on September 8, 2020 (the “IgM/IgG EUA”).

On December 3, 2020, the Company received from the FDA a letter responding to the IgM/IgG EUA. The response letter stated that, given the volume of
EUA requests it has received, the FDA was prioritizing review of EUA requests for tests, taking into account a variety of factors such as the public health
need for the product and the availability of the product. The response letter further stated that the FDA determined that review of the IgM/IgG EUA request
was  not  a  priority  because,  for  example,  authorization  of  the  test  would  have  relatively  limited  impact  on  testing  accessibility  or  testing  capacity,  and
therefore the FDA declined to review the IgM/IgG EUA request at that time.

On  July  6,  2020,  the  Company  received  a  $628,071  grant  from  the  Department  of  Health  and  Human  Services;  Office  of  the  Assistant  Secretary  for
Preparedness and Response; Biomedical Advanced Research and Development Authority, Division of Research Innovation and Ventures (“BARDA”) to
assist the Company in developing a COVID-19 point-of-care antigen system using Chembio’s proprietary DPP technology and submitting an application
for EUA to the FDA for the system. On October 15, 2020, Chembio submitted the EUA application for the DPP SARS-CoV-2 Antigen test system, which
was designed to detect SARS-CoV-2 antigens in only 20 minutes. The DPP SARS-CoV-2 Antigen test system consists of a DPP SARS-CoV-2 Antigen test
cartridge, a DPP Micro Reader optical analyzer and a minimally-invasive nasal swab.

On  December  2,  2020,  the  Company  received  a  $12,691,726  grant  from  BARDA  to  support  the  development  and  pursuit  of  FDA  EUA  for  a  rapid,
multiplex  DPP  Respiratory  Antigen  Panel  point-of-care  test  system.  The  contract  also  supports  preparation  of  a  submission  in  pursuit  of  FDA  510(k)
clearance for the Company’s rapid DPP SARS-CoV-2 Antigen test system.

The DPP Respiratory Antigen Panel test system is intended to provide simultaneous, discrete, and differential detection of Influenza A, Influenza B, and
SARS-CoV-2  antigens  from  a  single  patient  respiratory  specimen,  such  as  a  nasal  or  nasopharyngeal  swab.  It  is  expected  to  provide  results  in
approximately  20  minutes  and  be  run  on  Chembio’s  DPP  Micro  Reader  analyzer.  The  system  is  intended  to  enable  appropriate  clinical  management  of
patients with suspected respiratory infections and assist in the containment of COVID-19 cases during the flu season.

In  addition  to  its  DPP  COVID-19  rapid  test  products,  the  Company  has  a  broad  portfolio  of  infectious  disease  products,  which  it  expects  to  generate  a
diminished  amount  of  revenue  for  the  foreseeable  future  both  due  to  the  impact  of  the  global  COVID-19  pandemic  and  while  it  focuses  on  the
development, manufacture, and commercialization of DPP COVID-19 products. Through Research & Development (“R&D”) Services, the Company is
developing tests in collaboration with Takeda Pharmaceutical Company Limited.

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NOTE 2 — SIGNIFICANT ACCOUNTING POLICIES:

(a) Basis of Presentation:

The  accompanying  consolidated  financial  statements  include  the  accounts  of  Chembio  and  its  subsidiaries.  All  significant  intercompany  accounts  and
transactions have been eliminated in consolidation.

The  Company’s  future  working  capital  needs  will  depend  on  many  factors,  including  the  rate  of  its  business  and  revenue  growth,  the  timing  of  its
continuing automation of U.S. manufacturing, and the timing of its investment in research and development as well as sales and marketing. If the Company
is unable to increase its revenues and manage its expenses in accordance with its operating plan, it may need to reduce the level or slow the timing of the
growth  plans  contemplated  by  its  operating  plan,  which  would  likely  curtail  or  delay  the  growth  in  its  business  contemplated  by  its  operating  plan  and
could  impair  or  defer  its  ability  to  achieve  profitability  and  generate  cash  flow,  or  to  seek  to  raise  additional  funds  through  debt  or  equity  financing,
strategic relationships, or other arrangements.

Certain amounts related to other government income in the prior period financial statements have been reclassified to conform to the presentation of the
current period financial statements.

(b) Use of Estimates:

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  requires
management  to  make  assumptions  and  estimates  that  affect  the  amounts  reported  in  the  consolidated  financial  statements  and  accompanying  notes.
Judgments  and  estimates  of  uncertainties  are  required  in  applying  the  Company’s  accounting  policies  in  certain  areas.  Generally,  matters  subject  to
estimation  and  judgment  include  accounts  receivable  realization,  inventory  obsolescence,  asset  impairments,  recognition  of  revenue,  useful  lives  of
intangible  and  fixed  assets,  stock-based  compensation,  and  deferred  tax  asset  valuation  allowances.  Due  to  the  inherent  uncertainty  involved  in  making
estimates, actual results reported in future periods may be based upon amounts that differ from those estimates.

(c) Fair Value of Financial Instruments:

The carrying value for cash and cash equivalents, accounts receivable, accounts payable, accrued expenses and other current liabilities approximate fair
value due to the immediate or short-term maturity of these financial instruments. Included in cash and cash equivalents is $14.8 million and $16.0 million
as of December 31, 2020 and 2019, respectively, of money market funds that are Level 1 fair value measurements under the hierarchy. The fair value of the
Company’s total debt of $20 million (carrying value of $18.2 million) and $20 million (carrying value of $17.6 million) as of December 31, 2020 and 2019,
respectively, is a Level 2 fair value measurement under the hierarchy, and the carrying value approximates fair value.

Fair value measurements of all financial assets and liabilities that are being measured and reported on a fair value basis are required to be classified and
disclosed in one of the following three categories:

Level 1:

Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities;

Level 2:

Level 3:

Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of
the asset or liability; and

Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported
by little or no market activity).

(d) Cash and Cash Equivalents:

Cash and cash equivalents are defined as short-term, highly liquid investments with original maturities of three months or less at date of purchase, and
include restricted cash of $1 million and $0 as of December 31, 2020 and 2019, respectively.

The Company is contractually obligated to maintain the restricted cash balance on deposit with a bank as security for the bank’s issuance of a guarantee on
behalf  of  the  Company  for  its  performance  under  purchase  orders  from  which  the  Company  received  advance  payments  by  a  customer.  The  Company
expects that the restriction will be released within the next twelve months..

(e) Concentrations of Credit Risk:

Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash and trade receivables. The Company
places its cash with well-known financial institutions and, at times, may maintain balances in excess of the FDIC insurance limit.  The Company monitors
the credit ratings of the financial institutions to mitigate this risk.  Concentration of credit risk with respect to trade receivables is principally mitigated by
the Company’s ability to obtain letters of credit from certain foreign customers and its diverse customer base, both in number of customers and geographic
locations.

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(f) Inventory:

Inventories are stated at the lower of cost or net realizable value with cost being determined using a standard cost method, which approximates average
cost. Average cost consists primarily of material, labor and manufacturing overhead expenses (including fixed production-overhead costs). The Company
analyzes  its  inventory  levels  quarterly  and  writes  down,  in  the  applicable  period,  inventory  that  has  become  obsolete,  inventory  that  has  a  cost  basis  in
excess of its expected net realizable value and inventory in excess of expected customer demand. The Company also writes off, in the applicable period, the
costs related to expired inventory. Costs of purchased inventories are recorded using weighted-average costing.

(g) Fixed Assets:

Fixed assets are stated at cost, less accumulated depreciation.  Depreciation is computed using the straight-line method over the estimated useful lives of
the respective assets, which range from three  to  seven  years.  Leasehold  improvements  are  amortized  over  the  useful  life  of  the  asset  or  the  lease  term,
whichever is shorter. Deposits paid for fixed assets are capitalized and not depreciated until the related asset is placed in service.

(h) Valuation of Long-Lived Assets and Intangible Assets:

Long-lived assets to be held and used are analyzed for impairment whenever events or changes in circumstances indicate that the related carrying amounts
may  not  be  recoverable.  The  Company  evaluates  at  each  balance  sheet  date  whether  events  and  circumstances  have  occurred  that  indicate  possible
impairment.  If  there  are  indications  of  impairment,  the  Company  uses  future  undiscounted  cash  flows  of  the  related  asset  or  asset  grouping  over  the
remaining life in measuring whether the assets are recoverable.  In the event such cash flows are not expected to be sufficient to recover the recorded asset
values,  the  assets  are  written  down  to  their  estimated  fair  value.  No  impairment  of  long-lived  tangible  and  intangible  assets  was  recorded  for  the  years
ended December 31, 2020 and 2019.

(i) Revenue Recognition:

The  Company  recognizes  revenue  when  the  customer  obtains  control  of  promised  goods  or  services,  in  an  amount  that  reflects  the  consideration  the
Company expects to receive in exchange for those goods or services. The Company recognizes revenue following the five-step model prescribed under
Accounting  Standards  Update  (“ASU”)  2014-09:  (i)  identify  contract(s)  with  a  customer;  (ii)  identify  the  performance  obligations  in  the  contract;  (iii)
determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the
Company satisfies the performance obligation.

Product Revenue

Revenue from product sales are recognized and commissions are accrued when the customer obtains control of the Company’s product, which occurs at a
point in time, typically upon tendering the product to the customer. The Company expenses incremental costs of obtaining a contract as and when incurred
because the expected amortization period of the asset that it would have recognized is one year or less or the amount is immaterial. Freight and distribution
activities on products are performed when the customer obtains control of the goods. The Company has made an accounting policy election to account for
shipping and handling activities that occur either when or after goods are tendered to the customer as a fulfillment activity, and therefore recognizes freight
and distribution expenses in cost of product sales. The Company excludes certain taxes from the transaction price (e.g., sales, value added and some excise
taxes).

The Company’s contracts with customers often include promises to transfer products or services to a customer. Determining whether products and services
are considered distinct performance obligations that should be accounted for separately versus together may require judgment. Typical products sold are
diagnostic tests and typical services performed are R&D studies. Revenues from product  sales are recognized at a point-in-time and revenues from R&D
studies are recognized ratably, over the period of the agreement, unless the related performance obligations indicate otherwise.

Judgment  is  required  to  determine  the  stand-alone  selling  price  (“SSP”)  for  each  distinct  performance  obligation.  SSP  is  directly  observable  and  the
Company  can  use  a  range  of  amounts  to  estimate  SSP,  as  it  sells  products  and  services  separately,  and  can  determine  whether  there  is  a  discount  to  be
allocated based on the relative SSP of the various products and services, for the various geographies.

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The  Company’s  payment  terms  vary  by  the  type  and  location  of  the  Company’s  customer  and  products  or  services  offered.  Payment  terms  differ  by
jurisdiction and customer but payment is generally required in a term ranging from 30 to 60 days from date of shipment or satisfaction of the performance
obligation.

Reserves for Discounts and Allowances

Revenue  from  product  sales  are  recorded  net  of  reserves  established  for  applicable  discounts  and  allowances  that  are  offered  within  contracts  with  the
Company’s customers. The Company’s process for estimating reserves established for these variable consideration components does not differ materially
from its historical practices.

Product  revenue  reserves,  which  are  classified  as  a  reduction  in  product  revenue,  are  generally  related  to  discounts  and  returns.  Estimates  of  variable
consideration and the determination of whether to include estimated amounts in the transaction price are based on all information (historical, current and
forecasted) that is reasonably available to the Company, taking into consideration the type of customer, the type of transaction, market events and trends,
and  the  specific  facts  and  circumstances  of  each  arrangement.  The  transaction  price,  which  includes  variable  consideration  reflecting  the  impact  of
discounts, allowances and returns may be subject to constraint and is included in the net sales price only to the extent that it is probable that a significant
reversal of the amount of the cumulative revenue recognized will not occur in a future period. Actual amounts may ultimately differ from the Company’s
estimates. If actual results vary, the Company adjusts these estimates, which could have an effect on revenue and earnings in the period of adjustment.

License and Royalty Revenues

The Company receives royalty revenue on sales by its licensee of products covered under patents that the Company owns. The Company does not have
future  performance  obligations  under  this  license  arrangement.  The  Company  records  revenue  based  on  estimates  of  the  sales  that  occurred  during  the
relevant period as a component of license and royalty revenue. The relevant period estimates of sales are based on interim data provided by the licensee and
analysis  of  historical  royalties  that  have  been  paid  to  the  Company,  adjusted  for  any  changes  in  facts  and  circumstances,  as  appropriate.  Differences
between  actual  and  estimated  royalty  revenue  are  adjusted  for  in  the  period  in  which  they  become  known,  typically  the  following  quarter.  Historically,
adjustments have not been material when compared to actual amounts paid by licensees.

R&D Revenue

All contracts with customers are evaluated under the five-step model described above.  Such contracts are further described in Note 7 -  Revenue. Grants
are invoiced and revenue is recognized ratably as that is the depiction of the timing of the transfer of services. The R&D study, which encompasses various
phases  of  product  development  processes:  design  feasibility  &  planning,  product  development  and  design  optimization,  design  verification,  design
validation and process validation, and pivotal studies, is also recognized ratably.

For certain contracts that represent non-governmental grants where the funder does not meet the definition of a customer, the Company recognizes revenue
when earned in accordance with Accounting Standards Codification (“ASC”) Topic 958.

Government  Grant Income

Chembio  often  receives  government  grants  in  support  of  R&D  activities  that  are  not  associated  with  a  customer-vendor  relationship  and  therefore  falls
outside  the  scope  of  ASC  606.  Because  there  is  no  authoritative  guidance  under  U.S.  GAAP  on  accounting  for  government  grants  received,  Chembio
applies Topic 958 - Not-for-profit entities guidance by analogy. In June 2018, the Financial Accounting Standards Board (the “FASB”) issued ASU 2018-
08, Not-for-Profit Entities (Topic 958): Clarifying the Scope and the Accounting Guidance for Contributions Received and Contributions Made. This ASU
clarifies  the  guidance  presented  in  ASC  Topic  958,  “Not-for-Profit  Entities,”  for  evaluating  whether  a  transaction  is  reciprocal  (i.e.,  an  exchange
transaction) or non reciprocal (i.e., a contribution) and for distinguishing between conditional and unconditional contributions. The ASU also clarified the
guidance  used  by  entities  other  than  not-for-profits  to  identify  and  account  for  contributions  made.  Government  grants  are  invoiced  and  revenue  is
recognized as milestones are achieved, conditions are removed and approval from grantor is obtained.

Contract Liabilities

Deferred revenue relates to payments received in advance of performance under the contract. Deferred revenue is recognized as revenue as (or when) the
Company performs under the contract. At December 31, 2019, the Company reported $0.1 million in deferred revenue of which $0.1 million was earned
and recognized as R&D, milestone and grant revenue during the year ended December 31, 2020. At December 31, 2020, the Company reported $1.6 in
deferred revenue, in which $0.8 million is expected to be recognized during the three months ending March 31, 2021 and the remainder in the next twelve
months.

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In July 2020, the Company was awarded a grant of $0.6 million from BARDA to develop a SARS-CoV-2 Ag System. The Company earned $0.4 million
for the year ended December 31,2020 and was recorded as government grant income.

In December 2020, the Company was awarded a grant of $12.7 million from BARDA to support the development and pursuit of FDA EUA for a rapid,
multiplex DPP Respiratory Antigen Panel point-of-care test system. The Company earned $1.6 million for the year ended December 31,2020 and was
recorded as government grant income..

(j) Loss Per Share:

Basic loss per share is computed by dividing net loss by the weighted average number of shares of the Company assumed to be outstanding during the
period of computation. Diluted loss per share is computed using the treasury stock method if the additional shares are dilutive. For all periods presented,
basic and diluted loss per share are the same as any additional shares would be anti-dilutive.

There  were  603,531  and  545,986  restricted  shares  awards  outstanding  as  of  December  31,  2020  and  2019,  respectively,  that  were  not  included  in  the
calculation  of  diluted  loss  per  share  for  the  year  ended  December  31,  2020  and  2019,  because  their  effect  would  have  been  anti-dilutive.  There  were
974,778 and 642,625 options outstanding as of December 31, 2020 and 2019 respectively, that were not included in the calculation of diluted loss per share
for the twelve months ended December 31, 2020 and 2019, respectively, because their effect would have been anti-dilutive.

(k) Research and Development:

Research  and  Development  (R&D)  include  product  development,  program  management,  clinical  trials  and  regulatory  costs  and  are  expensed  when
incurred. Advance payments for goods and services that will be used in future research and development activities are expensed when the activity has been
performed or when the goods have been received rather than when the payment is made.

(l) Stock-Based Compensation:

The  Company  grants  share  options  to  employees,  non-employee  members  of  the  Company’s  board  of  directors  and  non-employee  consultants  as
compensation for services performed. Employee and non-employee members of the board of directors’ awards of share-based compensation are accounted
for in accordance with ASC 718, Compensation - Stock Compensation, or ASC 718. ASC 718 requires all share-based payments to employees and non-
employee directors, including grants of share options, to be recognized in the consolidated statement of operations and comprehensive loss based on their
grant date fair values.

Using this model, fair value is calculated based on assumptions with respect to (i) the fair value of the Company’s common stock on the grant date; (ii)
expected volatility of the Company’s common stock price, (iii) the periods of time over which the optionees are expected to hold their options prior to
exercise (expected term), (iv) expected dividend yield on the Company’s common stock, and (v) risk-free interest rates.

The  grant  date  fair  value  of  share  options  is  estimated  using  the  Black-Scholes  option  valuation  model.  The  fair  value  of  restricted  stock  and
performance/restricted stock unit awards are determined on the date of grant or the date of issuance, as applicable.

The expected volatility is calculated based on historical data of the Company’s common stock. The expected dividend yield is zero as the Company has
never paid dividends and does not currently anticipate paying any in the foreseeable future. Risk-free interest rates are based on quoted U.S. Treasury rates
for securities with maturities approximating the option’s expected term. The expected term of share options granted to the optionees is determined using the
expected life of the option.

Stock based compensation is reduced for actual forfeitures in the period in which the forfeiture occurs and generally recognized on a straight-line basis over
the service period of the grant.

(m) Income Taxes:

The Company accounts for income taxes under an asset and liability approach that recognizes deferred tax assets and liabilities based on the difference
between  the  financial  statement  carrying  amounts  and  the  tax  bases  of  assets  and  liabilities  using  enacted  tax  rates  in  effect  in  the  years  in  which  the
differences are expected to reverse.

The  Company  follows  a  more-likely-than-not  threshold  for  financial  statement  recognition  and  measurement  of  a  tax  position  taken,  or  expected  to  be
taken, in a tax return. The guidance relates to, among other things, classification, accounting for interest and penalties associated with tax positions, and
disclosure requirements. Any interest and penalties accrued related to uncertain tax positions are recorded in tax expense.

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The Company assesses the realizability of its net deferred tax assets on an annual basis. If, after considering all relevant positive and negative evidence, it is
more likely than not that some portion or all of the net deferred tax assets will not be realized, the Company will reduce the net deferred tax assets by a
valuation allowance. The realization of net deferred tax assets is dependent on several factors, including the generation of sufficient taxable income prior to
the expiration of net operating loss carryforwards.

(n) Goodwill and Indefinite-lived Intangible Assets:

Goodwill represents the excess of the purchase price the Company paid over the fair value of the net tangible and identifiable intangible assets acquired in
the Company’s acquisition. Goodwill is not amortized but rather is tested annually as of the first day of the fiscal fourth quarter, or sooner if the Company
believes that indicators of impairment exist. The Company makes a qualitative evaluation about the likelihood of goodwill impairment, which is based on a
number of applicable factors. If the Company concludes that it is more likely than not that the carrying value of the applicable reporting unit is greater than
its fair value, then it would recognize an impairment charge for the amount by which the carrying value exceeds the reporting unit’s fair value, provided the
impairment charge does not exceed the total amount of goodwill allocated to the reporting unit.

Indefinite-lived intangible assets are tested for impairment annually during the first day of the fiscal fourth quarter of the year, and when events or changes
in circumstances indicate the assets might be impaired. Impairment is indicated when the carrying value of the intangible asset exceeds its fair value.

(o) Allowance for Doubtful Accounts:

The  Company  records  allowances  for  doubtful  accounts  for  the  estimated  probable  losses  on  uncollectible  accounts  receivable.  The  allowance  is  based
upon the credit worthiness of the Company’s customers, the Company’s historical experience, the age of the receivable and current market and economic
conditions. Receivables are written off against these allowances in the period they are determined to be uncollectible.

(p) Acquisition Costs:

Acquisition costs are expensed when incurred and include primarily professional services, related to acquisition activities.

(q) Foreign Currency Translation:

The functional currency of a foreign subsidiary is the local currency. Assets and liabilities of foreign subsidiaries that use a currency other than U.S. dollars
as their functional currency are translated to U.S. dollars at end of period currency exchange rates. The consolidated statements of operations of foreign
subsidiaries are translated to U.S. dollars at average period currency exchange rates. The effect of translation for foreign subsidiaries is generally reported
in other comprehensive income. Foreign transaction gains/losses are immaterial.

(r) Leases:

The Company accounts for leases in accordance with ASC 842. The Company determines if an arrangement is a lease at contract inception. A lease exists
when  a  contract  conveys  the  right  to  control  the  use  of  identified  property,  plant,  or  equipment  for  a  period  of  time  in  exchange  for  consideration.  The
definition of a lease embodies two conditions: (1) there is an identified asset in the contract that is land or a depreciable asset (i.e., property, plant, and
equipment), and (2) the Company has the right to control the use of the identified asset. The Company accounts for the lease and non-lease components as a
single lease component.

From time to time the Company enters into direct financing lease arrangements that include a lessee obligation to purchase the leased asset at the end of the
lease term, a bargain purchase option, or provides for minimum lease payments with a present value of 90% or more of the fair value of the leased asset at
the date of lease inception.

Operating  leases  where  the  Company  is  the  lessee  are  included  in  right-of-use  (“ROU”)  assets  and  lease  obligations  are  included  on  the  Company’s
consolidated balance sheets. The lease obligations are initially and subsequently measured at the present value of the unpaid lease payments at the lease
commencement date and subsequent reporting periods.

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Finance leases where the Company is the lessee are included in ROU assets and lease obligations on the Company’s consolidated balance sheets. The lease
obligations are initially measured in the same manner as for operating leases and are subsequently measured at amortized cost using the effective interest
method.

Key estimates and judgments include how the Company determined (1) the discount rate used to discount the unpaid lease payments to present value, (2)
lease term and (3) lease payments. ASC 842 requires a lessee to discount its unpaid lease payments using the interest rate implicit in the lease or, if that rate
cannot be readily determined, its incremental borrowing rate. As most of the Company’s leases where it is the lessee do not provide an implicit rate, the
Company  uses  its  incremental  borrowing  rate  based  on  the  information  available  at  commencement  date  in  determining  the  present  value  of  lease
payments. The Company’s incremental borrowing rate for a lease is the rate of interest it would have to pay on a collateralized basis to borrow an amount
equal to the lease payments under similar terms. The Company uses the implicit rate when readily determinable.

The lease term for all of the Company’s leases includes the non-cancellable period of the lease plus any additional periods covered by either a lessee option
to extend (or not to terminate) the lease that is reasonably certain to be exercised, or an option to extend (or not to terminate) the lease controlled by the
lessor.

The ROU asset is initially measured at cost, which comprises the initial amount of the lease liability adjusted for lease payments made at or before the lease
commencement  date  less  any  lease  incentives  received.  For  operating  leases,  the  ROU  asset  is  subsequently  measured  throughout  the  lease  term  at  the
carrying amount of the lease liability, minus any accrued lease payments, less the unamortized balance of lease incentives received. Lease expense for lease
payments is recognized on a straight-line basis over the lease term.

For finance leases, the ROU asset is subsequently amortized using the straight-line method from the lease commencement date to the earlier of the end of
its useful life or the end of the lease term unless the lease transfers ownership of the underlying asset, or the Company is reasonably certain to exercise an
option to purchase the underlying asset. In those cases, the ROU asset is amortized over the useful life of the underlying asset. Amortization of the ROU
asset is recognized and presented separately from interest expense on the lease liability.

The Company has elected not to recognize ROU assets and lease liabilities for all short-term leases that have a lease term of 12 months or less at lease
commencement. Lease payments associated with short-term leases are recognized as an expense on a straight-line basis over the lease term.

(s) Recent Accounting Pronouncements Affecting the Company:

Recently Adopted

ASU 2020-10, Codification Improvements

In November 2020, the FASB issued ASU 2020-10, which clarifies various topics in the ASC, including the addition of existing disclosure requirements to
the relevant disclosure sections. This update improves consistency by amending the ASC to include all disclosure guidance in the appropriate disclosure
sections and clarifies application of various provisions in the ASC by amending and adding new headings, cross referencing to other guidance, and refining
or correcting terminology. The Company has evaluated the effects of this standard and determined that the adoption did not have a material impact on the
Company’s consolidated financial statements.

ASU 2016-13, Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”)

In June 2016, the FASB issued ASU 2016-13. ASU 2016-13 provides guidance on measurement of credit losses on financial instruments that changes the
impairment model for most financial assets and certain other instruments, including trade and other receivables, held-to-maturity debt securities and loans,
and that requires entities to use a new, forward-looking “expected loss” model that is expected to generally result in the earlier recognition of allowances
for losses. The Company adopted the standard effective January 1, 2020 and has evaluated the effects of this standard and determined that the adoption did
not have a material impact on the Company’s consolidated financial statements.

ASU 2018-13, Fair Value Measurement - Disclosure Framework (Topic 820) (“ASU 2018-13”)

In August 2018, the FASB issued ASU 2018-13. ASU 2018-13 improves the disclosure requirements on fair value measurements. The updated guidance
became  effective  for  fiscal  years  beginning  after  December  15,  2019  including  interim  periods  within  those  years.  The  Company  adopted  the  standard
effective January 1, 2020 and has evaluated the effects of this standard and determined that the adoption did not have a material impact on the Company’s
consolidated financial statements.

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ASU 2017-4, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment (“ASU 2017-4”)

In January 2017, the FASB issued ASU 2017-4. ASU 2017-4 simplifies the subsequent measurement of goodwill and eliminates Step 2 from the goodwill
impairment test. ASU 2017-4 is effective for annual and interim goodwill tests beginning after December 15, 2019. The Company adopted the standard
effective January 1, 2020 and has evaluated the effects of this standard and determined that the adoption did not have a material impact on the Company’s
consolidated financial statements.

Not Yet Adopted

ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes

In  December  2019,  the  FASB  issued  ASU  2019-12.  This  standard  simplifies  the  accounting  for  income  taxes  by  eliminating  certain  exceptions  to  the
guidance in Topic 740 related to the approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the
recognition  of  deferred  tax  liabilities  for  outside  basis  differences.  The  new  guidance  also  simplifies  aspects  of  the  accounting  for  franchise  taxes  and
enacted  changes  in  tax  laws  or  rates  and  clarifies  the  accounting  for  transactions  that  result  in  a  step-up  in  the  tax  basis  of  goodwill  and  allocating
consolidated income taxes to separate financial statements of entities not subject to income tax. ASU 2019-12 is effective for fiscal years beginning after
December 15, 2020, with early adoption permitted. Upon adoption, the Company must apply certain aspects of this standard retrospectively for all periods
presented while other aspects are applied on a modified retrospective basis through a cumulative-effect adjustment to retained earnings as of the beginning
of the fiscal year of adoption. The Company will adopt the standard effective January 1, 2021 and has determined that the adoption will not have a material
impact on the Company’s consolidated financial statements.

ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting

In March 2020, the FASB issued ASC Topic 848. ASC Topic 848 provides relief for impacted areas as it relates to impending reference rate reform. ASC
Topic  848  contains  optional  expedients  and  exceptions  for  applying  GAAP  to  debt  arrangements,  contracts,  hedging  relationships,  and  other  areas  or
transactions that are impacted by reference rate reform. This guidance is effective upon issuance for all entities and elections of certain optional expedients
are required to apply the provisions of the guidance. The Company will adopt the standard effective January 1, 2021 and has determined that the adoption
will not have a material impact on the Company’s consolidated financial statements.

ASU  2020-06  -  Debt—Debt  with  Conversion  and  Other  Options  (Subtopic  470-20)  and  Derivatives  and  Hedging—Contracts  in  Entity’s  Own  Equity
(Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity
20

On August 5, 2020, the FASB issued ASU 2020-06, which simplifies the accounting for certain financial instruments with characteristics of liabilities and
equity, including convertible instruments and contracts on an entity’s own equity. The ASU is part of the FASB’s simplification initiative, which aims to
reduce  unnecessary  complexity  in  U.S.  GAAP.  ASU  2020-06  simplifies  the  guidance  in  U.S.  GAAP  on  the  issuer’s  accounting  for  convertible  debt
instruments, requires entities to provide expanded disclosures about “the terms and features of convertible instruments” and how the instruments have been
reported  in  the  entity’s  financial  statements.  It  also  removes  from  ASC  815-40-25-10  certain  conditions  for  equity  classification  and  amends  certain
guidance in ASC 260 on the computation of EPS for convertible instruments and contracts on an entity’s own equity. An entity can use either a full or
modified  retrospective  approach  to  adopt  the  ASU’s  guidance.  The  ASU’s  amendments  are  effective  for  smaller  public  business  entities  fiscal  years
beginning after December 15, 2023. The Company continues to assess all potential impact of the standard and will disclose the nature and reason for any
elections that the Company makes.

NOTE 3 — ACQUISITIONS:

Orangelife

On November 25, 2019, pursuant to a quota purchase agreement, the Company acquired all of the outstanding shares of Orangelife Comercio e Industria
Ltda.,  or  Orangelife,  a  privately-held  Brazilian  company,  which  is  an  original  equipment  manufacturer  of  point-of-care  tests  approved  by  the  Brazilian
Health  Surveillance  Agency  (Agência  Nacional  de  Vigilância  Sanitária,  or  ANVISA)  for  infectious  diseases  that  include  HIV,  Hepatitis  C,  Zika,
Chikungunya,  and  Dengue  Fever.  Orangelife  tests  are  manufactured  in  its  Rio  de  Janeiro  facility,  which  is  ISO-certified  and  approved  by  ANVISA  to
produce Class II/III/IV medical devices. The purchase price includes the following consideration:

●
●

$150,000 in cash and 153,707 shares of common stock.
Issuance of 316,456 shares of common stock to the founder and former chief executive officer of Orangelife, based on the transfer and approval
of registration of certain of the Company’s products in Brazil prior to November 25, 2022. All of the shares may be deliverable in the event of
change in control of Chembio. The number of shares issued was subject to adjustments based upon Orangelife’s working capital at closing. The
fair value of the shares on the date of the acquisition was recorded in equity and was valued at $1.2 million.

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The purchase consideration is subject to routine post-closing adjustments and has been finalized as of December 31, 2020. The acquisition of Orangelife
will allow us to expand our commercial presence by offering our products to the state, private, and pharmacy markets in Brazil, in addition to providing
local  support  to  our  long  time  customer  Bio-Manguinhos,  the  subsidiary  of  the  Oswaldo  Cruz  Foundation  (Fiocruz)  that  oversees  development  and
production  of  vaccines,  diagnostics,  and  biopharmaceuticals,  primarily  to  meet  the  demands  of  Brazil’s  national  public  health  system.  The  results  of
Orangelife’s operations have been reflected in the consolidated financial statements since November 25, 2019.

The acquisition was accounted for using the purchase method of accounting. The following table summarizes the allocation of the purchase price to the
estimated fair values of the assets acquired and liabilities assumed on the closing date of November 25, 2019:

Net current assets
Property, plant and equipment and other assets
Inventory
Goodwill
Deferred tax liability
Other intangible assets (estimated useful life):

Trade name (0.5 years)
Customer contracts / relationships (5 years)

Total consideration

  $

Amount

320,293 
226,035 
289,205 
986,058 
(50,000)

5,000 
195,000 
1,971,591 

  $

The Company calculated the fair value of the property, plant and equipment based on the net book value of Orangelife as that approximates fair value. The
estimated fair value of the trade name, customer contracts/relationships and contingent earnouts were based on discounted cash flows using management
estimates.

As a result of the consideration paid exceeding the fair value of the net assets acquired, goodwill in the amount of $986,058 was recorded in connection
with this acquisition, none of which will be deductible for tax purposes. In addition, the Company recorded $200,000 in intangible assets associated with
the addition of Orangelife’s trade name and customer base.

The following represents unaudited pro forma operating results for the year ended December 31, 2019 as if the operations of Orangelife had been included
in  the  Company’s  Consolidated  Statements  of  Operations  as  of  January  1,  2019.  This  pro  forma  financial  information  is  unaudited  and  presented  for
illustrative purposes only and is not necessarily indicative of the operating results that would have occurred if the acquisition of Orangelife and the other
transactions contemplated by this acquisition had been completed as of January 1, 2019, nor is it necessarily indicative of the future operating results of
Chembio Diagnostics and Orangelife on a combined and consolidated basis.

Total revenues

Net loss

Net loss per common share (basic and diluted)

NOTE 4 — INVENTORIES:

Net inventories consist of the following at December 31:

Raw Materials
Work in Process
Finished Goods

F-16

Unaudited Proforma
December 31, 2019  
35,157,248 

  $

  $

  $

(13,654,001)

(0.80)

December 31

2020
5,955,215    $
2,549,516     
4,011,671     
12,516,402    $

  $

  $

2019
2,901,319 
793,343 
5,903,368 
9,598,030 

 
 
   
   
   
   
   
  
   
   
 
 
   
  
 
   
  
 
 
 
 
   
 
   
   
 
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NOTE 5 — FIXED ASSETS:

Fixed assets consist of the following at December 31:

Machinery and Equipment
Furniture and Fixtures
Computer Equipment
Leasehold Improvements
Enterprise Business Systems

Subtotal:

Less: Accumulated Depreciation and Amortization

December 31

2020
10,996,869    $
25,418     
446,300     
3,158,074     
2,741,806     
17,368,467     
(8,680,064)    
8,688,403    $

2019
7,955,511 
21,477 
416,359 
3,038,469 
1,830,925 
13,262,741 
(7,329,172)
5,933,569 

  $

  $

Depreciation expense for the 2020 and 2019 years totaled $1,227,860 and $933,558, respectively.

As of December 31, 2020 and 2019, the Company has purchased manufacturing equipment that is not yet in use and therefore has not been depreciated,
aggregating $3,011,273 and $1,400,181, respectively.

NOTE 6 — ACCOUNTS PAYABLE AND ACCRUED LIABILITIES:

Accounts payable and accrued liabilities consist of the following at December 31:

Accounts Payable - suppliers
Accrued Commissions & Royalties
Accrued Payroll
Accrued Vacation
Accrued Bonuses
Accrued Professional Fees
Accrued Expenses - Other

NOTE 7 — REVENUE:

Deferred Revenue

December 31

2020
5,727,781    $
807,708     
277,908     
417,238     
1,193,985     
511,681     
1,106,489     
10,042,790    $

  $

  $

2019
3,144,098 
931,760 
231,753 
410,199 
215,000 
- 
593,433 
5,526,243 

The Company recognizes income from R&D milestones when those milestones are reached and non-milestone contracts and grants when earned.  These
projects are invoiced after expenses are incurred. Any projects or grants funded in advance are deferred until earned.

From time to time the Company may receive prepayment from customers for products to be manufactured and shipped at future dates. Customer payments
in advance of the applicable performance obligation are deferred and recognized in accordance with ASC 606.

As of December 31, 2020 and 2019, there were $1,606,997 and $125,000 unearned advanced revenues, respectively.

Disaggregation of Revenue

The following tables disaggregates total revenues for the period ending December 31, 2020:

Net product sales
R&D revenue
Government grant income
License and royalty revenue

Exchange

Transactions    

Non-Exchange
Transactions    

  $

  $

24,767,149    $
4,851,562     
-     
832,562     
30,451,273    $

-    $
-     
2,018,924     
-     
2,018,924    $

Total
24,767,149 
4,851,562 
2,018,924 
832,562 
32,470,197 

Exchange transactions are recognized in accordance with ASC 606, while non-exchange transactions are recognized in accordance with ASU 2018-08.

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The following tables disaggregates total revenues for the period ending December 31, 2020 by region:

Africa
Asia
Europe & Middle East
Latin America
United States

The following tables disaggregates total revenues for the period ending December 31, 2019:

Net product sales
R&D revenue
Government grant income
License and royalty revenue

Total
4,890,370 
824,488 
9,905,437 
9,841,773 
7,008,129 
32,470,197 

  $

  $

Exchange

Transactions    

Non-Exchange
Transactions    

  $

  $

28,844,997    $
3,321,031     
-     
938,753     
33,104,781    $

-    $
704,507     
654,744     
-     
1,359,251    $

Total
28,844,997 
4,025,538 
654,744 
938,753 
34,464,032 

Exchange transactions are recognized in accordance with ASC 606, while non-exchange transactions are recognized in accordance with ASU 2018-08.

The following tables disaggregates total revenues for the period ending December 31, 2019 by region:

Africa
Asia
Europe & Middle East
Latin America
United States

NOTE 8 — INCOME TAXES:

The components of (loss) before income taxes consisted of the following:

United States operations
International operations
(Loss) before taxes

Total
7,564,360 
888,800 
6,498,995 
11,808,768 
7,703,109 
34,464,032 

  $

  $

Year Ending December 31,

2020

2019

  $ (23,384,133)   $ (12,504,780)
(1,670,641)
  $ (25,978,122)   $ (14,175,421)

(2,593,989)    

The (benefit from) provision for income taxes for the years ended December 31, 2020 and 2019 is comprised of the following:

Current

Federal
State
Foreign

Total current (benefit) provision

Deferred

Federal
State
Foreign

Total deferred (benefit) provision

Total (benefit) provision

F-18

Year Ending December 31,

2020

2019

  $

(66,906)   $
6,497     
-     
(60,409)    

- 
9,790 
3,633 
13,423 

-     
-     
(396,385)    
(396,385)    

- 
- 
(513,715)
(513,715)

  $

(456,794)   $

(500,292)

 
 
 
   
   
   
   
 
 
 
   
   
   
 
 
 
 
   
   
   
   
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
     
 
   
   
   
 
   
      
  
   
      
  
   
   
   
   
 
   
      
  
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A reconciliation of the Federal statutory rate to the effective rate applicable to loss before income taxes is as follows:

Federal income tax at statutory rates
State income taxes, net of federal benefit
Nondeductible expenses
Foreign rate differential
Change in valuation allowance
Other
Income tax benefit

Year Ending December 31,

2020

2019

21.00%    
(0.02)%   
(0.19)%   
0.47%    
(19.37)%   
(0.13)%   
1.76%    

21.00%
(0.05)%
(1.00)%
0.45%
(17.51)%
0.64%
3.53%

In January 2018, the FASB released guidance on the accounting for tax on the global intangible low-taxed income (“GILTI”) provisions of the Tax Act. The
GILTI provisions impose a tax on foreign income in excess of a deemed return on tangible assets of foreign corporations. The guidance allows companies
to make an accounting policy election to either (1) account for GILTI as a component of tax expense in the period in which they are subject to the rules (the
period cost method), or (ii) account for GILTI in the Company’s measurement of deferred taxes (the deferred method). After completing the analysis of the
GILTI provisions, the Company elected to account for GILTI using the period cost method.

The Company had an ownership change as described in Internal Revenue Code Sec. 382 during 2004 (“2004 change”). As a result, the Company’s net
operating losses prior to the 2004 change of $5,832,516 were subject to an annual limitation of $150,608 and for the first five (5) years are entitled to a BIG
(Built-In-Gains) of $488,207 per year. These net operating losses expire in 2020 through 2024.

The Company had a second ownership change during 2006 (“2006 change”). The net operating losses incurred between the 2004 change and the 2006
change of $8,586,861 were subject to an annual limitation of $1,111,831 and for the first five (5) years are entitled to a BIG of $1,756,842 per year. These
net operating losses expire in 2024 through 2026.

After applying the above limitations, at December 31, 2020, the Company has post-change net operating loss carry-forwards of approximately $27,001,828
which  expire  between  2021  and  2037  and  $35,840,768  which  do  not  expire.  In  addition,  the  Company  has  research  and  development  tax  credit
carryforwards of approximately $1,696,870 for the year ended December 31, 2020, which expire between 2021 and 2036.

The Company has state net operating loss carryforwards of approximately $3,511,090 which generally expire between 2035 and 2039. The Company has
foreign net operating loss carryforwards of approximately $5,598,852 which generally expire between 2025 and 2026.

Inventory reserves
Accrued expenses
Net operating loss carry-forwards
Research and development credit
Stock-based compensation

Lease obligations
Depreciation
Total deferred tax assets

Right-of-use assets
Depreciation
Intangibles
Total deferred tax liabilities

Net deferred tax assets before valuation allowance

Less valuation allowances

Net noncurrent deferred tax liabilities

  $

2020

461,709    $
130,291     
14,844,798     
1,696,870     
398,900     
602,187     
1,583,814     
-     
19,718,569     

2019

196,193 
105,323 
10,079,317 
1,679,495 
581,053 
- 
1,646,584 
44,993 
14,332,958 

(1,340,914)    
(254,366)    
(821,363)    
(2,416,643)    

(1,538,129)
- 
(921,807)
(2,459,936)

17,301,926     
(17,371,867)    
(69,941)   $

11,873,022 
(12,339,348)
(466,326)

  $

The Company does not provide for U.S. income taxes on unremitted earnings of foreign subsidiaries as its present intention is to reinvest the unremitted
earnings in the Company’s foreign operations. At December 31, 2020 there were no unremitted earnings of foreign subsidiaries.

Interest and penalties, if any, related to income tax liabilities are included in income tax expense. As of December 31, 2020, the Company does not have a
liability for uncertain tax positions.

F-19

 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
   
 
   
   
   
   
 
   
   
   
   
 
   
      
  
   
   
   
   
 
   
      
  
   
   
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The Company files Federal and state income tax returns, Chembio Germany files in Germany, Chembio Brazil files in Brazil and Chembio Malaysia files
in Malaysia and has been on tax holiday which expired on December 31, 2018. With few exceptions, tax years for fiscal 2017 through 2020 are open and
potentially subject to examination by federal, state and foreign taxing authorities.

On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act, (“CARES Act”), was enacted in response to the COVID-19 pandemic. The
CARES Act, among other things, permits NOL carryovers and carrybacks to offset 100% of taxable income for taxable years beginning before 2021. In
addition,  the  CARES  Act  allows  NOLs  incurred  in  tax  years  2018,  2019,  and  2020  to  be  carried  back  to  each  of  the  five  preceding  taxable  years.    In
addition to the NOL changes, the CARES Act contains modifications on the limitation of business interest for tax years beginning in 2019 and 2020. The
modifications to Section 163(j) increase the allowable business interest deduction from 30% of adjusted taxable income to 50% of adjusted taxable income.
This modification did not effect the Company’s interest expense limitation. Overall the CARES ACT did not have a significant impact on the Company
since it maintains a full valuation allowance.

NOTE 9 — STOCKHOLDERS’ EQUITY:

(a) Common Stock

During  2020,  options  to  purchase  36,000  shares  of  the  Company’s  common  stock  were  exercised  for  5,528  shares  of  common  stock,  net  of  tax
withholdings, at an exercise prices of $6.30. During 2019, options to purchase 54,343 shares of the Company’s common stock were exercised for 31,543
shares of common stock at an exercise prices ranging from $3.48 to $4.35 in each case by surrendering options or shares of common stock already owned.

In April 2020, the Company closed on an underwritten public offering of 619,593 shares of its common stock, including the underwriter’s exercise of its
overallotment  of  281,125  shares,  at  $11.75  per  share.  The  net  proceeds  of  the  offering,  after  deducting  the  underwriter’s  discounts  and  other  offering
expenses payable by the Company, was approximately $28.4 million.

(b) Preferred  Stock

The Company has 10,000,000 shares of preferred stock authorized and none outstanding.  These shares can become issuable upon an approved resolution
by the board of directors and the filing of a Certificate of Designation with the state of Nevada.

(c) Options, Restricted Stock, and Restricted Stock Units

The Board of Directors or its Compensation Committee may authorize the Company’s issuance of options, restricted stock, restricted stock units and other
equity  awards  to  officers,  employees,  directors,  consultants  and  other  service  providers  pursuant  to  the  Company’s  2019  Omnibus  Incentive  Plan  or
otherwise.

(d) Warrants

As of December 31, 2020, the Company has no warrants outstanding to purchase shares of common stock as further discussed in Note 14 – Warrants.

F-20

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NOTE 10 — EQUITY INCENTIVE PLANS:

Effective  June  3,  2008,  the  Company’s  stockholders  voted  to  approve  the  2008  Stock  Incentive  Plan  (“SIP”),  with  625,000  shares  of  common  stock
available to be issued.  At the Annual Stockholder Meeting on September 22, 2011 the Company’s stockholders voted to approve an increase to the shares
of common stock issuable under the SIP by 125,000 to 750,000.  Under the terms of the SIP, which expired during 2018, the Board of Directors or its
Compensation  Committee  had  the  discretion  to  select  the  persons  to  whom  awards  were  to  be  granted.  Awards  could  be  stock  options,  restricted  stock
and/or restricted stock units (“Equity Award Units”).  The awards became vested at such times and under such conditions as determined by the Board or its
Compensation Committee.  Cumulatively through December 31, 2020, there were 694,000 options expired, forfeited or exercised, and at December 31,
2020, 56,000 options were outstanding. No Equity Award Units were available to be issued under the SIP.

Effective June 19, 2014, the Company’s stockholders voted to approve the 2014 Stock Incentive Plan (“SIP14”), with 800,000 shares of common stock
available to be issued.  Under the terms of the SIP14, the Board or its Compensation Committee has the discretion to select the persons to whom awards are
to be granted.  Awards can be in the form of Equity Award Units.  The awards become vested at such times and under such conditions as determined by the
Board or its Compensation Committee.  Cumulatively through December 31, 2020, there were there were 514,782 options expired, forfeited or exercised.
At December 31, 2020, 264,157 options were outstanding and 0 Equity Award Units are available to be issued under the SIP14. Following the approval of
the 2019 Plan (defined below), any Equity Award Units outstanding under the SIP14 remain subject to and be paid under the SIP14, and any shares subject
to  outstanding  awards  under  the  SIP14  that  expire,  terminate,  or  are  surrendered  or  forfeited  for  any  reason  without  issuance  of  shares  automatically
become available for issuance under the 2019 Plan.

Effective June 18, 2019, the Company’s stockholders voted to approve the 2019 Omnibus Incentive Plan (“2019 Plan”), with 2,400,000 shares of common
stock  available  to  be  issued.  In  addition,  shares  of  Common  Stock  underlying  any  outstanding  award  granted  under  the  2019  Plan  that,  following  the
effective date of the 2019 Plan, expires, or is terminated, surrendered or forfeited for any reason without issuance of such shares shall be available for the
grant of new awards under the 2019 Plan. Under the terms of the 2019 Plan, the Board or its Compensation Committee has the discretion to select the
persons to whom awards are to be granted. Awards can be in the form of options, stock appreciation rights, restricted stock, restricted stock units, or other
stock-based  award’s  under  the  2019  Plan  (collectively,  “2019  Equity  Units”).  The  awards  become  vested  at  such  times  and  under  such  conditions  as
determined by the Board or its Compensation Committee. Cumulatively through December 31, 2020, 489,294 2019 Equity Units have been exercised or
forfeited. At December 31, 2020, 1,024,563 2019 Equity Units were outstanding, and 1,506,226 2019 Equity Units were available to be awarded under the
2019 Plan.

The Company’s results for the years ended December 31, 2020 and 2019 include stock-based compensation expense totaling $1,098,698 and $1,655,900,
respectively.  Such  amounts  have  been  included  in  the  Consolidated  Statements  of  Operations  within  cost  of  product  sales  ($6,300  and  $10,806,
respectively), research and development ($386,016 and $228,597, respectively) and selling, general and administrative expenses ($706,382 and $1,416,497,
respectively).

Stock option compensation expense in the years ended December 31, 2020 and 2019 represents the estimated fair value of options outstanding, which is
being amortized on a straight-line basis over the requisite vesting period of the entire award. The stock compensation expense were $480,779 and $351,556
in December 31, 2020 and 2019, respectively.

The fair value of restricted stock and performance/restricted stock unit awards are determined on the date of grant or the date of issuance, as applicable.
Stock-based  compensation  expense  for  stock  options  is  calculated  using  the  Black-Scholes  valuation  model.  Stock  based  compensation  is  reduced  for
actual forfeitures in the period in which the forfeiture occurs and generally recognized on a straight-line basis over the service period of the grant. During
the year ended December 31, 2020 and 2019, 486,488 and 0 shares of restricted stock were forfeited, respectively. During the year ended December 31,
2020 and 2019, 123,127 and 0 options were forfeited, respectively.

The weighted-average assumptions made in calculating the fair values of options are as follows for the respective years ended December 31:

Expected term (in years)
Expected volatility
Expected dividend yield
Risk-free interest rate

F-21

2020

2019

6.29 
46.21%   
0 
1.30%   

n/a 
n/a 
n/a 
n/a 

 
 
 
 
   
   
   
   
   
   
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The following table provides stock option activity for the years ended December 31, 2020 and 2019:

Outstanding at December 31, 2019

Granted
Exercised
Forfeited/expired/cancelled
Outstanding  at December 31, 2020

Exercisable at December 31, 2020

Weighted
Average
Exercise Price
per Share

Number
of Shares

642,625  $

726,280  $
36,000  $
358,127  $
974,778  $

5.79 

2.59   
6.30   
2.44   
4.12 

Weighted
Average
Remaining
Contractual
Term
2.57 years

Aggregate
Intrinsic
Value

  $

285,925

5.19 years

-
95,976
-
1,520,910

-

  $

  $

257,211  $

7.42 

2.87 years

The following table summarizes information about stock options outstanding at December 31, 2020:

Stock Options Outstanding
Weighted
Average
Average
Remaining
Exercise
Contract Life
Price
(Year)

Shares

Outstanding    

636,364     
-     
83,664     
207,875     
46,875     
974,778     

6.21    $
-     
4.25     
3.05     
2.60     
5.19    $

2.36    $
-     
5.53     
7.31     
11.45     
4.12    $

Aggregate
Intrinsic
Value
1,520,910     
-     
-     
-     
-     
1,520,910     

Range of
Exercise Prices
1 to 2.79999
2.8 to 4.59999
4.6 to 6.39999
6.4 to 8.19999
8.2 to 12
Total

Stock Options Exercisable
Weighted
Average
Exercise
Price

Aggregate
Intrinsic
Value

Shares

Exercisable    

-    $
-     
39,961     
189,125     
28,125     
257,211    $

-    $
-     
5.53     
7.22     
11.45     
7.42    $

- 
- 
- 
- 
- 
- 

As of December 31, 2020, there was $736,339 of net unrecognized compensation cost related to stock options that are not vested, which is expected to be
recognized over a weighted average period of approximately 2.11 years.  The total fair value of shares vested during the year ended December 31, 2020,
was $326,630.

The following table summarizes information about restricted stock and restricted stock units outstanding as of December 31, 2020:

Unvested at December 31, 2019

Granted
Vested
Forfeited/expired/cancelled
Unvested at December 31, 2020

Number of
Shares & Units   

545,986    $

Weighted
Average
Grant Date
Fair Value  
7.47 

656,759     
112,726     
486,488     
603,531     

2.75 
5.63 
6.43 
3.08 

As of December 31, 2020, there was $1,215,441 of net unrecognized compensation cost related to restricted stock and restricted stock units that are not
vested, which is expected to be recognized over a weighted average period of approximately 1.8 years. Stock based compensation cost related to restricted
stock and restricted stock units recognized during the years ended December 31, 2020 and 2019 was $617,919 and $1,394,814, respectively.

NOTE 11 — GEOGRAPHIC INFORMATION AND ECONOMIC DEPENDENCY:

The  Company  produces  only  one  group  of  similar  products  known  collectively  as  “rapid  medical  tests,”  and  it  operates  in  a  single  operating  segment.
Product revenue by geographic area are as follows:

Africa
Asia
Europe & Middle East
Latin America
United States

Year Ending December 31,

2020
4,890,370    $
824,488     
5,274,927     
9,841,772     
3,935,592     
24,767,149    $

2019
7,564,360 
888,800 
3,781,761 
11,808,767 
4,801,309 
28,844,997 

  $

  $

F-22

 
 
 
 
 
 
 
 
     
   
   
 
 
   
 
   
 
   
 
 
 
 
     
   
   
 
 
 
   
 
 
   
   
   
   
 
   
   
   
   
   
   
 
   
 
   
      
  
   
   
   
   
 
 
 
 
   
 
   
   
   
   
 
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Long-lived assets by geographic area are as follows:

Asia
Europe & Middle East
Latin America
United States

2020

326,267    $
147,692     
14,719     
8,199,725     
8,688,403    $

2019

393,299 
165,029 
60,527 
5,314,715 
5,933,569 

  $

  $

NOTE 12 — COMMITMENTS, CONTINGENCIES AND CONCENTRATIONS:

a) Employment Contracts:

The Company has multi-year contracts with two key employees.  The contracts call for salaries presently aggregating $843,292 per year, and they expire in
December 2021 and December 2022. The following table is a schedule of future minimum salary commitments:

2021
2022
2023

b) Benefit Plan:

 $843,292 
   460,000 
- 

The Company has a 401(k) plan established for its employees whereby it matches 40% of the first 5% (or 2% of salary) that an employee contributes to the
plan.  Matching contribution expenses totaled $87,377 and $93,892 for the years ended December 31, 2020 and 2019, respectively.

c) Leases:

The Company leases facilities in New York, Germany, Malaysia, and Brazil, and certain equipment.

The Company’s facility leases generally include optional renewal periods. Upon entering into a new facility lease, the Company evaluates the leasehold
improvements and regulatory requirements related to its operations in that location. To the extent that the initial lease term of the related facility lease is
less than the useful life of the leasehold improvements and potential regulatory costs associated with moving the facility, the Company concludes that it is
reasonably certain that a renewal option will be exercised, and thus that renewal period is included in the lease term and the related payments are reflected
in the right-of-use asset and lease liability.

The Company’s leases generally include fixed rental payments with defined annual increases. While certain of the Company’s leases are gross leases, the
majority of the Company’s leases are net leases in which the Company makes separate payments to the lessor based on the lessor’s property and casualty
insurance costs, the property taxes assessed on the property, and a portion of the common area maintenance where applicable. The Company has elected the
practical expedient not to separate lease and nonlease components for all of the Company’s facility leases.

The components of lease expense were as follows:

Operating lease expense

Finance lease cost

Amortization of right-of-use assets
Interest on lease liabilities
Total finance lease expense

Supplemental cash flow and other information related to leases were as follows:

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows for operating leases
Operating cash flows for finance leases
Financing cash flows for finance leases

Right-of-use assets obtained in exchange for lease obligations:

Operating leases
Finance leases

F-23

Year Ended
December 31, 2020   

1,669,105    $

Year Ended
December 31, 2019 
1,655,573 

58,414    $
19,986     
78,400    $

23,372 
7,892 
31,264 

  $

  $

  $

Year Ended
December 31, 2020   

Year Ended
December 31, 2019 

  $

  $

1,139,944    $
19,987     
51,166     

-    $
69,528     

632,952 
7,892 
19,875 
7,892 
7,030,744 
210,350 

 
   
 
   
   
   
 
 
  
 
 
   
      
  
   
      
  
   
 
   
     
 
   
   
   
      
   
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Supplemental balance sheet information related to leases was as follows:

Finance Leases
Finance lease right of use asset
Accumulated depreciation

Finance lease right of use asset, net

Current portion of finance lease liability
Finance lease liability

Total finance lease liabilities

Weighted Average Remaining Lease Term

Operating leases
Finance leases

Weighted Average Discount Rate

Operating leases
Finance leases

  December 31, 2020   December 31, 2019 

  $

  $

  $

315,154    $
(82,020)    
233,134    $

58,877     
185,239     
244,116    $

233,722 
(23,372)
210,350 

41,894 
171,953 
213,847 

9.0 years 
3.7 years 

9.3 years 
4.8 years 

8.58%   
8.18%   

8.67%
7.00%

During 2019, the Company executed an operating sublease related to its former Holbrook, New York facility. The sublease ran conterminously with the
base lease in Holbrook, for which the Company was primarily responsible until the end of the lease term in April 2020.

Maturities of lease liabilities as of December 31, were as follows.

2021
2022
2023
2024
2025
Thereafter

Total lease payments
Less: imputed interest

Total

d) Economic Dependency:

December 31, 2020

December 31, 2019

Operating
Leases

Finance
Leases

  $

  $

  $

1,209,787    $
1,057,757     
1,026,272     
1,018,875     
1,049,442     
4,724,445     
10,086,578    $
(3,116,975)    
6,969,603    $

76,904    $
76,904     
76,904     
49,136     
5,755     
-     
285,603    $
(41,487)    
244,116    $

Operating
Leases
1,205,161    $
1,209,787     
1,057,757     
1,026,272     
1,018,875     
5,773,887     
11,291,739    $
(3,753,842)    
7,537,897    $

Finance
Leases

55,536 
55,536 
55,536 
55,536 
27,767 
- 
249,911 
(36,064)
213,847 

The following table discloses product sales the Company had to customers that purchased in excess of 10% of the Company’s net product sales for the
periods indicated:

For The Years Ended

December 31, 2020

December 31, 2019

Net Sales

    % of Net Sales 

Net Sales

    % of Net Sales 

Accounts Receivable

December 31,
2020

December 31,
2019

Customer 1
Customer 2
Customer 3

  $

6,224,737     
2,955,312     
2,956,945     

25.1%  $
11.9%   
11.9%   

11,263,573     
5,782,543     
*     

39%  $
20%   
* 

522,218    $
1,987     
*     

941,962 
16,033 
* 

Revenue includes product sales only, while accounts receivable reflects the total due from the customer, including freight.

F-24

   
     
 
   
 
   
      
  
   
   
   
 
   
 
 
 
 
 
 
   
 
   
 
   
 
   
 
   
   
 
 
   
 
 
   
   
   
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
     
 
   
   
   
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The following table discloses purchases the Company made form vendors in excess of 10% of the Company’s net purchases for the periods indicated:

For The Years Ended

December 31, 2020

December 31, 2019

Accounts Payable

December
31, 2020

December
31, 2019

Vendor 1

  $

2,222,182     

13.0%   

Purchases

    % of Purc.

Purchases

    % of Purc.
*     

*    $

222,588     

* 

In  the  tables  above,  an  asterisk  (*)  indicates  that  indicates  that  sales,  accounts  receivable,  purchases  or  accounts  payable,  as  applicable  to  the  tabular
column, did not exceed 10% for the period indicated.

The Company purchases materials pursuant to intellectual property rights agreements that are important components in its products.  Management believes
that other suppliers could provide similar materials on comparable terms.  A change in suppliers, however, could cause a delay in manufacturing and a
possible loss of sales, which could adversely affect operating results.

e) Litigation:

Employee Litigation

John J. Sperzel III, our former chief executive officer, filed suit in the United States District Court in Maine asserting a right to exercise certain options to
purchase, for an aggregate exercise price of $943,126, a total of 266,666 shares of common stock that were vested when he resigned on January 3, 2020.
Under their terms, those options were exercisable for a period of thirty days after his service to our company ended. The compensation committee of the
board, acting in its discretion in accordance with the terms of the underlying equity incentive plans, has determined that Sperzel’s attempt to exercise the
options following the thirty day period was not valid. The Court has dismissed Sperzel’s lawsuit for lack of personal jurisdiction in Maine. If Sperzel refiles
the lawsuit in another jurisdiction, Chembio intends to vigorously defend against any claim by Mr. Sperzel that he continues to have a right to exercise any
options.

Stockholder Litigation

Putative Stockholder Securities Class Action Litigation

As we reported previously, four purported securities class action lawsuits were filed by alleged stockholders of our Company in the United States District
Court for the Eastern District of New York:

● Sergey Chernysh v. Chembio Diagnostics, Inc., Richard L. Eberly, and Gail S. Page, filed on June 18, 2020, which we refer to as the Chernysh

case;

● James Gowen v. Chembio Diagnostics, Inc., Richard L. Eberly, and Gail S. Page, filed on June 22, 2020, which we refer to as the Gowen case;

● Anthony Bailey v. Chembio Diagnostics, Inc. Richard J. Eberly, Gail S. Page, and Neil A. Goldman, filed on July 3, 2020, which we refer to as the

Bailey case; and

● Special  Situations  Fund  III  QP,  L.P.,  Special  Situations  Cayman  Fund,  L.P.,  and  Special  Situations  Private  Equity  Fund,  L.P.  v.  Chembio
Diagnostics, Inc., Richard Eberly, Gail S. Page, Robert W. Baird & Co. Inc. and Dougherty & Company LLC, filed August 17, 2020, which we
refer to as the Special Situations Funds case.

The plaintiffs in each of the cases alleged claims under Section 10(b) of the Securities Exchange Act of 1934 (the “Exchange Act”), Rule 10b-5 thereunder,
and Section 20(a) of the Exchange Act. Special Situations Fund III QP, L.P., Special Situations Cayman Fund, L.P., and Special Situations Private Equity
Fund, L.P. (together, the “Special Situations Funds”) also asserted claims under Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 (the “Securities
Act”) relating to Chembio’s May 2020 public offering.

We and the plaintiffs entered into court-approved stipulations relieving the defendants of the obligation to respond to the complaints in these cases pending
the designation of a lead plaintiff pursuant to the Private Securities Litigation Reform Act of 1995. Eight motions for appointment as lead plaintiff were
filed by various prospective lead plaintiffs. However, all but two of these motions were withdrawn or otherwise abandoned, leaving before the Court two
motions for appointment as lead plaintiff -- one filed by the Special Situations Funds, and one by Municipal Employees’ Retirement System of Michigan
(“MERS”). By Order entered December 29, 2020, Magistrate Judge Lindsay consolidated the cases and appointed the Special Situations Funds and MERS
as  co-lead  plaintiffs,  and  their  respective  counsel  as  co-lead  counsel.  The  consolidated  cases  are  now  pending  under  the  caption  “In  re  Chembio
Diagnostics, Inc. Securities Litigation.”

F-25

 
   
 
 
 
 
 
   
   
 
 
 
 
 
     
     
 
Table of Contents

The  Special  Situations  Funds  and  MERS  (together  “Lead  Plaintiffs”)  filed  their  Consolidated  Amended  Complaint  (“CAC”)  on  February  12,  2021.  In
summary, the CAC purports to allege claims based on assertedly false and misleading statements and omissions concerning the performance of the DPP
COVID-19 IgM/IgG System, as well as an asserted failure to timely disclose that the Emergency Use Authorization that had been granted by the Food and
Drug Administration with respect to the System “was -- or was at an increased risk of -- being revoked.”  The CAC names as defendants the Company,
Richard L. Eberly, Gail S. Page, Neil A. Goldman, Javan Esfandiari, Katherine L. Davis, Dr. Mary Lake Polan, Dr. John Potthoff, and the underwriters for
the Company’s May 2020 public offering, Robert W. Baird & Co., Inc. and Dougherty & Company LLC.

The CAC purports to assert five counts under the Securities Act and the Exchange Act of 1934. Counts I through III are brought under the Securities Act,
allegedly on behalf of a purported class consisting of all persons who purchased Chembio common stock directly in or traceable to the Company’s May
2020  offering  pursuant  to  the  Company’s  Form  S-3  Registration  Statement  and  its  Prospectus  and  Prospectus  Supplement  dated  May  7,  2020  (the
“Securities Act Class”). Count I purports to allege a claim for violation of Section 11 of the Securities Act against all defendants other than Messrs. Eberly
and Esfandiari. Count II purports to allege a claim for violation of Section 12 of the Securities Act against all defendants other than Messrs. Eberly and
Esfandiari.  Count  III  purports  to  allege  a  claim  under  Section  15  of  the  Securities  Act  against  Ms.  Davis,  Dr.  Polan,  Dr.  Potthoff,  Ms.  Page,  and  Mr.
Goldman.

Counts IV and V are alleged claims under the Exchange Act on behalf of a purported class consisting of all persons who purchased Chembio securities on
the open market between March 12, 2020 and June 16, 2020, inclusive (the “Exchange Act Class”). Count IV purports to allege a claim for violation of
Section 10(b) of the Exchange Act and Rule 10b-5 thereunder against the Company, Mr. Eberly, Ms. Page, Mr. Goldman, and Mr. Esfandiari. Count V
purports to allege a claim under Section 20(a) of the Exchange Act against Mr. Eberly, Ms. Page, Mr. Goldman, and Mr. Esfandiari.

Lead Plaintiffs seek, on behalf of the Securities Act Class and the Exchange Act Class, among other things, an award of damages in an amount to be proven
at trial, as well as an award of reasonable costs, including attorneys’ fees and expenses, expert fees, pre-judgment and post-judgment interest, and such
other relief as the court deems just and proper. The Lead Plaintiffs also seeks rescission “or a rescissory measure of damages” on behalf of the Securities
Act Class as to Count II.

Pursuant to an Order entered by the Court on January 29, 2021, any defendant wishing to move against the amended complaint was required to file, by
February  18,  2021,  a  letter  requesting  a  pre-motion  conference.  On  that  date,  the  defendants  submitted  letters  to  the  Court  requesting  a  pre-motion
conference regarding anticipated motions to dismiss the CAC, and Lead Plaintiffs responded on February 24, 2021. In its January 29, 2021 Order, the Court
indicated that it would consider a briefing schedule on motions to dismiss after it had received and reviewed the parties’ correspondence.

On March 5, 2021, the Court entered an Order in which the Court advised the parties that it had determined that a pre-motion conference was not necessary
and established a briefing schedule on the defendants’ anticipated motions to dismiss. Pursuant to that schedule, defendants’ motions and supporting papers
are due to be filed no later than March 19, 2021, the Lead Plaintiffs’ opposition papers are due to be filed no later than April 2, 2021, and the defendants’
reply papers are due to be filed no later than April 9, 2021. We have agreed with Plaintiffs’ counsel to a modification of the schedule such that defendants’
motions and supporting papers would be due to be filed no later than March 26, 2021, the Lead Plaintiffs’ opposition papers would be due to be filed no
later than April 16, 2021, and the defendants’ reply papers would be due to be filed no later than April 30, 2021. This schedule modification is subject to
the Court’s approval.

Putative Stockholder Derivative Litigation

On September 11, 2020, a putative stockholder derivative action was filed purportedly on our Company’s behalf in the United States District Court for the
Eastern District of New York captioned Karen Wong, derivatively on behalf of Chembio Diagnostics, Inc., Plaintiff v. Richard L. Eberly, Gail S. Page, Neil
A.  Goldman,  Javan  Esfandiari,  Katherine  L.  Davis,  Mary  Lake  Polan,  and  John  G.  Potthoff,  Defendants,  and  Chembio  Diagnostics,  Inc.,  Nominal
Defendant, which we refer to as the Wong complaint. The Wong complaint purports to assert a claim for violation of Section 14(a) of the Exchange Act and
Rule  14a-9  thereunder  based  on  ostensibly  false  and  misleading  statements  and  omissions  concerning  our  rapid  COVID-19  antibody  test  in  the  proxy
statement  disseminated  in  advance  of  our  Annual  Meeting  of  Stockholders  held  on  July  28,  2020.  The  Wong  complaint  also  asserts  claims  against  the
individual defendants for purported breaches of fiduciary duties owed to our Company, as well as unjust enrichment.

The Wong complaint requests a declaration that the individual defendants have breached or aided and abetted the breach of their fiduciary duties to our
Company, an award of damages to our Company, restitution, and an award of the plaintiff’s costs and disbursements in the action, including reasonable
attorneys’ and experts’ fees, costs and expenses, and improvements to our Company’s corporate governance and internal procedures regarding compliance
with laws. Pursuant to a stipulation by which the individual defendants in the Wong action agreed to waive service of process, the Court ordered that the
time for defendants to answer or otherwise respond to the complaint be extended to November 19, 2020. The parties subsequently entered into a stipulation
for a stay of proceedings in the Wong action pending final disposition of motions to dismiss the pending putative class action litigation, subject to certain
conditions. The Court entered an order granting the requested stay on November 3, 2020.

Commercial Litigation

Chembio Diagnostic Systems Inc. (“Chembio”) and BioSure (UK) Ltd (“BioSure”) entered into the BioSure Sure Check® HIV 1/2 Assay OTC Agreement
dated April 2, 2014, and as subsequently amended (the “Distribution Agreement”). Pursuant to the Distribution Agreement, BioSure acquired the right to
sell bundled products in the UK containing Chembio’s Sure Check® HIV 1/2 pouched tests. The Distribution Agreement terminated on April 1, 2019. On
September 16, 2019, Chembio initiated arbitration in New York, USA. Chembio alleges that BioSure (1) breached various provisions of the Distribution
Agreement, (2) misappropriated Chembio’s trade secrets, (3) engaged in deceptive business acts and practices, and (4) breached the implied covenant of
good faith and fair dealing. On November 23, 2020, BioSure requested leave to file a counterclaim seeking recession of the Distribution Agreement based
on  alleged  fraudulent  concealment  by  Chembio.    Chembio  opposed  BioSure’s  request  for  leave  to  file  the  counterclaim  on  procedural  and  substantive
grounds, and on December 11, 2020  the  Tribunal  denied  the  request  for  leave  to  file  the  counterclaim.    The  Tribunal’s  denial  was  without  prejudice  to
BioSure’s ability to assert its claim in a separate proceeding.  BioSure continues to deny the relief sought and alleges certain statements Chembio made to
third  parties  about  the  Distribution  Agreement  were  in  bad  faith  and  are  a  defense  to  Chembio’s  claims.  BioSure  also  asserts  that  certain  alleged
misrepresentations entitle BioSure to “set off” any award Chembio might receive from the Tribunal. The parties have completed discovery, and submitted
their first pre-hearing submissions. Chembio intends to vigorously pursue its claims in the arbitration. The final merits hearing is scheduled for April 2021.
At this stage in the litigation, we are not able to predict the probability of a favorable or unfavorable outcome.

f) Governmental Regulation:

All of the Company’s existing and proposed diagnostic products are regulated by the U.S. Food and Drug Administration, U.S. Department of Agriculture,
certain U.S., state and local agencies, and/or comparable regulatory bodies in other countries. Most aspects of development, production, and marketing,
including  product  testing,  authorizations  to  market,  labeling,  promotion,  manufacturing,  and  record  keeping,  are  subject  to  regulatory  review.  After
marketing approval has been granted, Chembio must continue to comply with governmental regulations. Failure to comply with applicable requirements
can lead to sanctions, including withdrawal of products from the market, recalls, refusal to authorize government contracts, product seizures, civil money
penalties, injunctions, and criminal prosecution.

F-26

Table of Contents

NOTE 13 — LONG-TERM DEBT:

In  September  2017,  the  Company  entered  into  an  agreement  with  an  equipment  vendor  to  purchase  automated  assembly  equipment  for  approximately
$660,000. The terms call for payments of 30% down, 60% at time of factory acceptance testing and 10% after delivery.  The vendor agreed to lend the
Company 15%, 40%, and 10%, of each originally scheduled payment, respectively.  The Company paid interest at an annual rate of 12% until delivery. 
Beginning in September 2018, the Company began making monthly payments of principal and interest of approximately $20,150, at an annual rate of 12%
over a twenty-four month period. The remaining balance was entirely short-term as of December 31, 2019. This balance was fully paid during 2020.

On September 3, 2019, the Company entered into a Credit Agreement and Guaranty (the “Credit Agreement”) with Perceptive Credit Holdings II, LP (the
“Lender”). The Credit Agreement provides for a $20,000,000 senior secured term loan credit facility, which was drawn in full on September 4, 2019. Under
the terms of the Credit Agreement, the Company may use the proceeds (i) for general working capital purposes and other permitted corporate purposes, (ii)
to refinance certain of the Company’s existing indebtedness and (iii) to pay fees, costs and expenses incurred in connection with the Credit Agreement,
including the Lender’s closing cost amount of $550,000, which was netted from the proceeds, and a financing fee of $600,000 (3.0% of gross proceeds)
payable to Craig-Hallum Capital Group LLC, the Company’s financial advisor for the financing.

Principal outstanding under the Credit Agreement bears interest at a rate per annum equal to the sum of (a) the greater of the one-month London Interbank
Offered Rate and 2.5% plus (b) 8.75%. At any time at which an event of default has occurred and is continuing, the interest rate will increase by 4.0%.
Accrued interest is payable on a monthly basis. On December 31, 2020 the interest rate was 11.25%.

No principal repayments are due under the Credit Agreement prior to September 30, 2022, unless the Company elects to prepay principal or principal is
accelerated pursuant to an event of default identified in the Credit Agreement. Principal installments in the amount of $300,000 are payable on the last day
of  each  of  the  eleven  months  from  September  2022  through  July  2023,  and  all  remaining  principal  is  payable  at  maturity  on  September  3,  2023.  The
Company may prepay outstanding principal from time to time, subject to payment of a premium on the prepaid principal amount equal to 10% through
September 3, 2020, 8% from September 4, 2020 through September 3, 2021, and 4% from September 4, 2021 through September 3, 2022. No premium
will be due with respect to any prepayment made on or after September 4, 2022.

Chembio’s obligations under the Credit Agreement are secured by a first priority, perfected lien on substantially all of its property and assets, including its
equity interests in subsidiaries.

As of December 31, 2020, the loan balance, net of unamortized discounts and debt issuance costs, was $18.2 million, and Chembio was in compliance with
its loan covenants.

NOTE 14 — WARRANTS:

In connection with entering into the Credit Agreement, on September 3, 2019, the Company issued to the Lender a seven-year warrant (the “Warrant”) to
purchase up to 550,000 shares of the Company’s common stock at a per-share exercise price of $5.22. The Warrant was exercisable for cash or on a net, or
“cashless,” basis, and the exercise price of the Warrant was subject to price-based, weighted-average antidilution adjustments for one year after issuance.

The Warrant was evaluated by the Company and classified within stockholder’s equity. Its fair value was estimated using a Black-Scholes option-pricing
model using the assumptions below.

Stock price on issuance date
Strike Price
Risk-free interest rate
Volatility
Expected life

The fair value of the Warrant was determined to be approximately $1.4 million at $2.49 per share.

As of December 31, 2020, the Warrant was fully exercised.

  $
  $

5.40 
5.22 
1.45%
43.65%

7 years 

F-27

   
   
 
Table of Contents

NOTE 15 - GOODWILL AND INTANGIBLE ASSETS:

For the years ended December 31, 2020 and 2019, there was no impairment of goodwill and other intangible assets.

Following is a table that reflects changes in Goodwill:

Beginning balance January 1, 2020
Changes in foreign currency exchange rate
Balance at December 31, 2020

 $5,872,690 
91,054 
 $5,963,744 

Intangible assets consist of the following at:

Weighted
Average
Remaining
Life

Intellectual property
Developed technology
Customer contracts/relationships
Trade names

December 31, 2020

December 31, 2019

5
5
6
7

Cost
$1,638,699
2,102,526
1,323,424
115,318
$5,179,967

Accumulated
Amortization

Net
Book Value

$472,190
594,186
423,093
44,512
$1,533,981

$1,166,509
1,508,340
900,331
70,806
$3,645,986

Cost
$1,418,681
1,922,682
1,325,521
114,946
$4,781,830

Accumulated
Amortization

Net
Book Value

$299,232
266,550
270,902
30,794
$867,478

$1,119,449
1,656,132
1,054,619
84,152
$3,914,352

Amortization expense for the year ended December 31, 2020 and 2019 was $588,962 and $515,263, respectively, and is recorded within COGS, R&D and
Selling,  General  and  Administrative  expenses.  Amortization  expense,  subject  to  changes  in  currency  exchange  rates,  is  expected  to  be  approximately
$617,000 per year from 2021 through 2025, and total $561,000 million for all of the years thereafter.

NOTE 16 — SUBSEQUENT EVENTS:

Restructuring

On January 14, 2021, the Company’s Board of Directors (the “Board”) approved a restructuring plan (“2021 Plan”) to better align its business priorities.
The Plan comprises the termination of employees primarily in the manufacturing department. These actions were intended to better align the Company’s
cost  structure  with  the  skills  and  resources  required  to  more  effectively  pursue  opportunities  in  the  marketplace  and  execute  the  Company’s  long-term
growth strategy.

Costs associated with the 2021 Plan are primarily related to Severance and Legal costs. Severance payouts are expected to be substantially completed by
the end of the six months ending June 30, 2021. Under the 2021 Plan, the Company expects to incur pre-tax charges between approximately $0.1 million
and $0.2 million.

F-28

  
 
 
 
 
 
DESCRIPTION OF THE REGISTRANT’S SECURITIES
REGISTERED PURSUANT TO SECTION 12 OF THE
SECURITIES EXCHANGE ACT OF 1934

Exhibit 4.2

We have one class of securities registered under Section 12 of the Securities Exchange Act of 1934 (the “Exchange Act”): common
stock, $0.01 par value per share (“Common Stock”).

Description of Common Stock

The following is a description of the material terms and provisions relating to Common Stock. Because it is a summary, the following description is not
complete and is subject to and qualified in its entirety by reference to our Articles of Incorporation, as amended, our Amended and Restated Bylaws, and
provisions of Nevada law which define the rights of our stockholders.

Holders of common stock are entitled to one vote for each share held by them of record on our books in all matters to be voted on by the stockholders.

Holders of common stock are entitled to receive dividends as may be legally declared from time to time by the board of directors, and, in the event of our
liquidation, dissolution or winding up, to share ratably in all assets remaining after payment of liabilities and amounts owed with respect to any preferred
stock or other senior securities. Declaration of dividends on common stock is subject to the discretion of the board of directors and will depend upon a
number of factors, including our future earnings, capital requirements, financial condition, and/or restrictions, if any, imposed by debt instruments or senior
securities. We have not declared  dividends  on  common  stock  in  the  past  and  we  currently  anticipate  that  retained  earnings,  if  any,  in  the  future  will  be
applied to our expansion and development rather than the payment of dividends.

Holders of common stock have no preemptive or subscription rights and are not subject to further calls or assessments. There are no redemption or sinking
fund provisions applicable to common stock.

Under our corporate documents and Nevada law, the election of directors requires a plurality of the votes cast by holders of our outstanding common stock
at  the  annual  meeting  while  other  fundamental  corporate  actions,  such  as  mergers  and  other  business  combinations,  or  amendments  of  our  Articles  of
Incorporation, require the approval of the holders of a majority of our outstanding common stock.

The  number  of  shares  of  our  authorized  common  stock  may  be  increased  and  altered  from  time  to  time  through  an  amendment  to  our  Articles  of
Incorporation in the manner prescribed by Nevada law upon the approval of the holders of a majority of our outstanding common stock.

Nasdaq Capital Market

Our Common Stock is traded on The Nasdaq Capital Market under the symbol “CEMI.”

Transfer Agent and Registrar

The transfer agent and registrar for our Common Stock is Action Stock Transfer Corp.

Transactions with Interested Persons

Under Nevada law, a transaction with the Company (i) in which a Company director or officer has a direct or indirect interest, or (ii) involving another
corporation, firm or association in which one or more of the Company’s directors or officers are directors or officers of the corporation, firm or association
or have a financial interest in the corporation firm or association, is not void or voidable solely because of the director’s or officer’s interest or common role
in the transaction if any one of the following circumstances exists:

•

•

•

•

the fact of the common directorship, office or financial interest is known to the board of directors or a committee of the board of directors and a
majority of disinterested directors on the board of directors (or on the committee) authorized, approved or ratified the transaction;
the fact of the common directorship, office or financial interest is known to the stockholders and disinterested stockholders holding a majority of the
shares held by disinterested stockholders authorized, approved or ratified the transaction;
the fact of the common directorship, office or financial interest is not known to the director or officer at the time the transaction is brought to the board
of directors for action; or
the transaction was fair to the Company at the time it is authorized or approved.

Control Share Acquisition Provisions

Nevada  law  precludes  an  acquirer  of  the  shares  of  a  Nevada  corporation  who  crosses  one  of  three  ownership  thresholds  (20%,  33  1/3%  or  50%) from
obtaining  voting  rights  with  respect  to  those  shares  unless  the  disinterested  holders  of  a  majority  of  the  shares  of  the  Company  held  by  disinterested
stockholders  vote  to  accord  voting  power  to  those  shares.  Nevada  permits  a  corporation  to  opt  out  of  the  application  of  these  control  share  acquisition
provisions  by  so  providing  in  the  articles  of  incorporation  or  bylaws.  The  Company  has  opted  out  of  the  application  of  these  control  share  acquisition
provisions in our Amended and Restated Bylaws, as amended.

Combinations with Interested Stockholders

Under  Nevada  law,  except  under  certain  circumstances,  a  corporation  is  not  permitted  to  engage  in  a  business  combination  with  any  “interested
stockholder” for a period of two years following the date such stockholder became an interested stockholder. An “interested stockholder” is a person or
entity  who  owns  10%  or  more  of  the  outstanding  shares  of  voting  stock.  Nevada  permits  a  corporation  to  opt  out  of  the  application  of  these  business
combination  provisions  by  so  providing  in  the  articles  of  incorporation.  Although  we  did  not  opt  out  of  the  application  of  these  business  combination
provisions  in  it  our  Articles  of  Incorporation,  as  amended,  the  business  combination  provisions  are  not  applicable  to  an  interested  stockholder  if  the
transaction by which the person first became an interested stockholder is approved before the persons becomes an interest stockholder.

 
 
Name of Subsidiary

Chembio Diagnostic Systems Inc.

Chembio Diagnostics Brazil Holdings LLC

Chembio Diagnostics Brazil Ltda.

Chembio Diagnostics Malaysia Sdn. Bhd.

Chembio Diagnostics Germany Holdings GmbH

Chembio Diagnostics GmbH

CHEMBIO DIAGNOSTICS, INC.
Subsidiaries of the Registrant

Jurisdiction of Incorporation

Exhibit 21.1

Delaware

Delaware

Brazil

Malaysia

Germany

Germany

Consent of Independent Registered Public Accounting Firm

Exhibit 22.1

We consent to the incorporation by reference in the following Registration Statements:

1. Registration Statement (Form S-3 No. 333-227398) of Chembio Diagnostics, Inc.,

2. Registration Statement (Form S-3 No. 333- 215813) of Chembio Diagnostics, Inc.,

3. Registration Statement (Form S-8 No. 333- 151785) pertaining to the 2008 Stock Incentive Plan of Chembio Diagnostics, Inc., and

4. Registration Statement (Form S-8 No. 333- 203633) pertaining to the 2014 Stock Incentive Plan and an employment agreement of Chembio

Diagnostics, Inc.;

of our report dated March 11, 2021, with respect to the consolidated financial statements of Chembio Diagnostics, Inc, included in this Annual Report
(Form 10-K) of Chembio Diagnostics, Inc. for the year ended December 31, 2020.

/s/ Ernst & Young, LLP

Jericho, New York
March 11, 2021

Consent of Independent Registered Public Accounting Firm

Chembio Diagnostics, Inc.
Hauppauge, New York

We hereby consent to the incorporation by reference in the Registration Statements on Forms S-3 (No. 333-227398 and No. 333-215813) and Forms S-8
(No. 333-151785 and No. 333-203633) of Chembio Diagnostics, Inc. of our report dated March 13, 2020, relating to the consolidated financial statements
of Chembio Diagnostics, Inc which appears in this Annual Report on Form 10-K.

Exhibit 23.1

/s/ BDO USA, LLP
Melville, NY
March 11, 2021

CERTIFICATION

Exhibit 31.1

I, Richard L. Eberly, certify that:

1.

2.

3.

4.

I have reviewed the Form 10-K of Chembio Diagnostics, Inc.;

Based on my knowledge, the report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by the
report;

Based on my knowledge, the financial statements, and other financial information included in the report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in the report;

The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a15(f) and 15d-
15(f)) for the registrant and have:

(a)

(b)

(c)

(d)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which the report is being prepared;

Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for
external purposes in accordance with generally accepted accounting principles;

Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  the  report  our  conclusions  about  the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by the report based on such evaluation; and

Disclosed in the report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal  quarter  (the  registrant’s  fourth  fiscal  quarter  in  the  case  of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)

(b)

All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  registrant’s  internal
control over financial reporting.

Date: March 11, 2021

/s/ Richard L. Eberly
Richard L. Eberly
Chief Executive Officer and President

 
 
 
 
 
CERTIFICATION

Exhibit 31.2

I, Neil A. Goldman, certify that:

1.

2.

3.

4.

I have reviewed the Form 10-K of Chembio Diagnostics, Inc.;

Based on my knowledge, the report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by the
report;

Based on my knowledge, the financial statements, and other financial information included in the report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in the report;

The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a15(f) and 15d-
15(f)) for the registrant and have:

(a)

(b)

(c)

(d)

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which the report is being prepared;

Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for
external purposes in accordance with generally accepted accounting principles;

Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  the  report  our  conclusions  about  the
effectiveness of the disclosure controls and procedures, as of the end of the period covered by the report based on such evaluation; and

Disclosed in the report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal  quarter  (the  registrant’s  fourth  fiscal  quarter  in  the  case  of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to
materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to
the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)

(b)

All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting  which  are
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  registrant’s  internal
control over financial reporting.

Date:  March 11, 2021

/s/ Neil A. Goldman
Neil A. Goldman
Executive Vice President and Chief Financial Officer

 
 
 
 
 
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

In connection with the Annual Report on Form 10-K (the “Report”) of Chembio Diagnostics, Inc. (the “Company”) for the year ended December 31, 2020,
each of the undersigned Richard L. Eberly, the Chief Executive Officer and President of the Company, and Neil A. Goldman, the Executive Vice President
and Chief Financial Officer of the Company, hereby certifies pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley
Act of 2002, that, to the best of the undersigneds’ knowledge and belief:

(1)

(2)

The Form 10-K for the year ended December 31, 2020 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act
of 1934; and

The information contained in the Form 10-K for the year ended December 31, 2020 fairly presents, in all material respects, the financial condition
and results of operations of Chembio Diagnostics, Inc. for the periods presented therein.

Dated: March 11, 2021

Dated:  March 11, 2021

/s/ Richard L. Eberly
Richard L. Eberly
Chief Executive Officer and President

/s/ Neil A. Goldman
Neil A. Goldman
Executive Vice President and Chief Financial Officer