Summary:
Summary Statement of Deficiencies D5301 TEST REQUEST CFR(s): 493.1241(a) The laboratory must have a written or electronic request for patient testing from an authorized person. This STANDARD is not met as evidenced by: Based on test requisitions record review and testing personnel interview conducted on 7/11/19, the laboratory failed to have written or electronic requests for patient urinalysis testing from an authorized person. Findings included: a. For 2 (accession numbers F3491153 and H3414592) of 3 randomly selected patient urinalysis tests from October 2018 to May 2019, the laboratory failed to have a written or electronic request to perform the urinalysis testing from an authorized person . b. According to laboratory records, the laboratory performs approximately 600 patient urinalysis tests annually. 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 --