Arizona Dermatology

CLIA Laboratory Citation Details

2
Total Citations
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 03D0992206
Address 6644 E Baseline Rd Ste 102, Mesa, AZ, 85206
City Mesa
State AZ
Zip Code85206
Phone(480) 844-0510

Citation History (2 surveys)

Survey - January 16, 2025

Survey Type: Standard

Survey Event ID: AQQU11

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on lack of accuracy verification documentation for Mohs and interview with the testing personnel, the laboratory failed to verify the accuracy of testing performed under the subspecialty of Histopathology at least twice annually during 2023 and 2024. Findings include: 1. No documentation was presented for review to indicate the laboratory verified the accuracy of Mohs testing at least twice annually during 2023 and 2024. 2. The testing personnel interviewed on 1/16/25 at 11:40 AM confirmed the laboratory failed to verify the accuracy of Mohs testing testing at least twice annually during 2023 and 2024. 3. The laboratory's reported annual test volume under the subspecialty of Histopathology is 1,658. 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 - February 7, 2023

Survey Type: Standard

Survey Event ID: NLTR11

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on lack of accuracy verification documentation for review for Mohs testing and interview with the facility personnel, the laboratory failed to verify the accuracy of testing performed under the sub-specialty of Histopathology at least twice annually during 2020, 2021 and 2022. Findings include: 1. No documentation was presented for review during the survey conducted on February 7, 2023 to indicate the laboratory verified the accuracy of the microscopic interpretation (reading/diagnosis) of histopathology specimens which are read during the Mohs procedure at least twice annually during 2020, 2021 and 2022. 2. The facility personnel interviewed on 3/09 /23 at approximately 10:15am confirmed that the laboratory failed to verify the accuracy of histopathology testing at least twice annually during 2020, 2021 and 2022. 3. The laboratory's approximate annual test volume under the sub-specialty of Histopathology is 1,788. 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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