Some time back a dealer I know showed me a slab. In it was a coin that had nothing to do with what was printed on the tag inside. He told me he opened it, replaced the coin with an obviously wrong one, resealed it. I could not tell how nor where it was ever opened.
Another dealer showed me obvious fake coins in a fake slab. I only knew they were all fake since the coin was a 1913 Liberty Head Nickel.
I've seen many fake slabs at coin shows where they were put on display for people to see just how good they are now being made. In reality the average person just can't tell. In many instances even dealers can't tell.
Fake slabs and fake coins are getting so good, many realllllly look real.
At a flea market a dealer was selling coins such as 1916D Merc's, 1921
Walking Liberty halves and lots more. It was only obvious they had to be fake since they were only $5 each. You really just can't tell anymore.