Bay Shore Dermatology

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 01D0888131
Address 7550 Assunta Ct, Fairhope, AL, 36532
City Fairhope
State AL
Zip Code36532
Phone(251) 928-4944

Citation History (1 survey)

Survey - July 18, 2018

Survey Type: Standard

Survey Event ID: 9F2J11

Deficiency Tags: D5791

Summary:

Summary Statement of Deficiencies D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1289(a)(c) (a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess, and when indicated, correct problems identified in the analytic systems specified in 493.1251 through 493.1283. (c) The laboratory must document all analytic systems assessment activities. This STANDARD is not met as evidenced by: Based on a review of the MOHS Quality Assurance (QA) documentation and an interview with Clinical Consultant #2, the surveyor determined the laboratory failed to document their QA reviews and the

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