Cedars-Sinai Medical Care Foundation

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 05D0928743
Address 23101 Sherman Pl Ste 410, West Hills, CA, 91307
City West Hills
State CA
Zip Code91307
Phone(747) 832-2887

Citation History (1 survey)

Survey - August 16, 2019

Survey Type: Standard

Survey Event ID: QP9311

Deficiency Tags: D2121

Summary:

Summary Statement of Deficiencies D2121 HEMATOLOGY CFR(s): 493.851(a) Failure to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event is unsatisfactory analyte performance for the testing event. This STANDARD is not met as evidenced by: Based on review of the third quarter (Q3-2017) of the American Association of Bioanalysts (AAB) proficiency testing records, random patient samplings test results and interview with the technical consultant, it was determined that; the laboratory failed to attain a score of at least 80 percent of acceptable responses for Erythrocytes (RBC) and Hematocrit (HCT) analytes. The findings included: a. Q3-2017, AAB reported an unsatisfactory proficiency testing scores of 40% for RBC, and 60% for HCT analytes. b. For two (2) out of eight (8) random patient sampling test results reviewed covering period from 11/20/2017 to 2/14/2019, two (2) patients test results cannot be assured. c. The technical consultant confirmed (8/16/2019, 1400) that the laboratory received the above unsatisfactory proficiency testing scores. 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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