Summary:
Summary Statement of Deficiencies D0000 The Austin Dermatologic Surgery Center laboratory was found to be in compliance with the Conditions of the CLIA regulations found at 42 CFR 493.1 through 493.1780, CLIA requirements for laboratories as a result of a recertification survey on February 24, 2026 and recertification is recommended. Standard level deficiency was cited. D5805 TEST REPORT CFR(s): 493.1291(c) (c) The test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of the test reports and interview, the laboratory failed to ensure the name of the laboratory was on the Mohs chart notes for ten of ten reports reviewed from May 2024 - January 2026. Findings follow. A. Random review of ten test reports from May 2024 - January 2026 showed no facility name on the test reports as listed by date of service and ID: Date ID 1. 05/28/2024 200334 2. 08/06/2024 2336901 3. 10/07 /2024 623920 4. 12/06/2024 1191154 5. 02/20/2025 1599754 6. 05/05/2025 1873161 7. 07/10/2025 487351 8. 10/07/2025 487351 9. 12/24/2025 1669390 10. 01/27/2026 1613673 B. Interview with the histotech on February 24, 2026 at 1545 hours in the laboratory confirmed the findings. 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 --