Christine S Rausch Md, Pc

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Christine S. Rausch, MD, PC (Elevate Dermatology and Plastic Surgery) on September 23, 2025 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Regulations. Specific deficiency cited is as follows: 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 a review of seven randomly selected patient histology slides and Mohs surgical maps, lack of documentation and an interview, the laboratory failed to ensure the laboratory's address was included on seven of seven selected Mohs surgical maps on the date of the survey on September 23, 2025. The findings include: 1. The surveyor randomly selected seven patients for documentation comparison of the histology slides to the Mohs final reports. The laboratory provided the surveyor the patient slides and corresponding Mohs surgical maps for the seven patients. 2. During a review of the slides and maps, the surveyor observed seven of seven Mohs surgical maps lacked documentation of the laboratory's address (case numbers M23-1466, M24-545, M24-1123, M24-1606, M25-023, M25-690, and M25-1226). During an interview with the Mohs technician on September 23, 2025 at 11:45 AM, the surveyor Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- inquired what the laboratory considered the final report. The Mohs technician stated the Mohs maps were the final report. 3. In an exit interview with the Mohs technician on September 23, 2025 at 1:00 PM, the findings were confirmed. -- 2 of 2 --

Summary Statement of Deficiencies D0000 An announced CLIA Recertification survey was conducted at the Christine S Rausch MD, PC (laboratory) on 11/14/23 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements. Specific deficiencies cited are as follows: D3011 FACILITIES CFR(s): 493.1101(d) Safety procedures must be established, accessible, and observed to ensure protection from physical, chemical, biochemical, and electrical hazards, and biohazardous materials. This STANDARD is not met as evidenced by: Based on tour of the laboratory, review of manufacturer's Safety Data Sheet (SDS), and interviews, the laboratory failed to follow manufacturer's instructions for disposing the StatLab XS-3, Xlyene Substitute reagent utilized to fix Mohs histological samples to examination glass slides at the date of survey on 11/14/23. Findings include: 1. A tour of the laboratory on 11/14/23 at 09:20 AM revealed the laboratory utilizes the StatLab XS-3, Xlyene Substitute reagent to fix Mohs histological samples to examination glass slides for microscopic review. During the tour, the inspector asked the primary testing personnel how they dispose of the xylene substitute reagent. They stated, "we flush the reagent down the sink with copious amounts of water." 2. Review of the SDS for the Xylene substitute reagent revealed the following instructions, "Section 6 Environmental Precautions- Prevent entry to sewers and public waters, Avoid release to the environment. Collect spillage." "Section 13: Disposal Considerations, Waste Disposal Recommendations- Dispose of contents/container in accordance with local, regional, national, territorial, provincial, and international regulations. Ecological- Waste Materials- Avoid release to the environment. This material is hazardous to the aquatic environment. Keep out of sewers and waterways." 3. In an phone interview with the StatLab technical support at Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- 09:45 AM on 11/14/23 , they stated, "we do not recommend or support disposing of the XS-Xylene substitute reagent down sinks with water. We encourage sites to dispose of the materials through a biohazard company." 4. An exit interview with the primary testing personnel and lab director on 11/14/23 at 10:45 AM confirmed the findings. -- 2 of 2 --