Chi Health Clinic Dermatology - Elkhorn

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 28D2288007
Address 1625 N 205th Street, Elkhorn, NE, 68022
City Elkhorn
State NE
Zip Code68022
Phone(402) 717-0750

Citation History (1 survey)

Survey - May 27, 2025

Survey Type: Standard

Survey Event ID: HDJT11

Deficiency Tags: D5217 D5217

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 verification records, and interview with the clinic manager the laboratory failed to have a system for verifying the accuracy of Moh's testing at least twice annually for 2024. Findings are: 1. Review of the laboratory's list of tests performed revealed the laboratory performs Moh's testing. 2. Interview with the clinic manager on 5/27/2025 at approximately 10:15 AM, confirmed the laboratory did not have documentation of verification of accuracy for Moh's testing in 2024. 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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