Summary:
Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Associates in Dermatology MOHS Laboratory on 7/15/2026. The laboratory was surveyed under 42 CFR Part 493 CLIA requirements. Standard deficiencies cited are as follows: D3011 FACILITIES CFR(s): 493.1101(d) Safety procedures must be established, accessible, and observed to ensure protection from physical, chemical, biochemical, and electrical hazards, and biohazardous materials. This STANDARD is not met as evidenced by: Based on observation, interview, and review safety data sheets (SDS), the laboratory failed to ensure protection from chemical hazards used for Histopathology testing of Hematoxylin and Eosin (H&E) stain from 04/11/2024 to 07/15/2026. Findings: 1. During a tour of the laboratory on 07/15/2026 at 11:55 AM, no fume hood was observed to provide protection from respiratory chemical hazards of the reagents used for H & E testing. 2. The SDS sheets for Xylene Substitute, Reagent Alcohol 100%, and Reagent Alcohol 95%, all included hazard statements regarding inhalation precautions. 3. The Histology Tech confirmed on 07/15/2026 at 11:55 AM there was no hood or any other method to ensure respiratory protection from chemical hazards used for H & E staining. 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 --