Ameripath Florida Llc

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 10D1082767
Address 6806 N Sr 7, Coconut Creek, FL, 33073
City Coconut Creek
State FL
Zip Code33073
Phone(800) 330-6770

Citation History (2 surveys)

Survey - August 26, 2022

Survey Type: Standard

Survey Event ID: 4R8N11

Deficiency Tags: D3031 D0000

Summary:

Summary Statement of Deficiencies D0000 A recertification survey conducted on 08/26/2022 found the AMERIPATH FLORIDA LLC clinical laboratory not in compliance with 42 CFR Part 493, Requirements for Laboratories. D3031 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(3) Analytic systems records. Retain quality control and patient test records (including instrument printouts, if applicable) and records documenting all analytic systems activities specified in 493.1252 through 493.1289 for at least 2 years. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory failed to retain stain process records for year 2021. Findings include: Review of laboratory's quality control documents revealed the laboratory failed to have the following records for year 2021: - Min/Max Humidity Monitoring Log. -Room temperature log. -Cryostat temperature. - Patient log. -Reagent Acceptability Worksheet. -Stain/Technical Quality. -Equipment maintenance. During an interview on 08/26/2022 at 10:30 AM, the General Supervisor confirmed that the laboratory failed to keep the documents of reference for year 2021. 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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Survey - September 9, 2020

Survey Type: Standard

Survey Event ID: MTNW11

Deficiency Tags: D0000 D3039

Summary:

Summary Statement of Deficiencies D0000 A recertification survey conducted on 9-9-2020 found that Ameripath Florida LLC clinical laboratory was not in compliance with 42 CFR Part 493, Requirements for Laboratories. D3039 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(5) Quality system assessment records. Retain all laboratory quality system assessment records for at least 2 years. This STANDARD is not met as evidenced by: Based on record review and staff interview, the laboratory failed to provide documentation of their quality system assessment (QA) logs for the year 2019. Findings Included: A review of the QA logs revealed no documentation of QA logs for 2019. An interview on 9-9-2020 at 11:41 AM with the general supervisor B confirmed there was no QA logs for the year of 2019. 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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