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 review of the laboratory's list of tests performed, lack of documentation and staff interview at 9:40 AM on 1/9/2018, the laboratory failed to verify the accuracy for dermatopathology. Findings are: 1. Review of the laboratory's list of tests performed revealed the laboratory performing high complexity dermatopathology testing by three testing personnel. 2. No documentation could be presented through proficiency testing or laboratory comparison to verify the accuracy of this testing for 2016 and 2017. 3. Staff interview revealed the laboratory had not enrolled in proficiency testing or laboratory comparisons for the previous 2 years for the three individuals performing this testing. 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 --