Acworth Dermatology & Skin Cancer

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 11D2086982
Address 4450 Calibre Xing Nw Suite 1208, Acworth, GA, 30101
City Acworth
State GA
Zip Code30101
Phone(678) 505-8030

Citation History (1 survey)

Survey - May 17, 2018

Survey Type: Standard

Survey Event ID: GYQR11

Deficiency Tags: D0000 D2000

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) recertification survey was completed on May 17, 2018. The laboratory was not in compliance with all applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiencies were cited: D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on review of laboratory documents and staff interview, the laboratory failed to enroll in proficiency testing (PT) for each of the specialities for which it seeks certification. Findings include: 1. Laboratory document review revealed the laboratory failed to enroll in PT for Potassium Hydroxide (KOH) testing for 2016, 2017, and 2018 thus far. 2. An interview with the laboratory director (LD) in a medical office on 5/17/18 at approximately 11:30 a.m. confirmed the laboratory was not enrolled in PT for KOH testing for 2016, 2017, and 2018 thus far. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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