Colorado Skin Surgery & Dermatology

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 06D0512124
Address 7336 S Yosemite Street Suite 100, Centennial, CO, 80112
City Centennial
State CO
Zip Code80112
Phone(303) 791-0410

Citation History (1 survey)

Survey - May 23, 2025

Survey Type: Standard

Survey Event ID: 4Q1711

Deficiency Tags: D0000 D5407

Summary:

Summary Statement of Deficiencies D0000 Based on an on-site recertification survey conducted on May 23, 2025, deficiencies were cited for Colorado Skin Surgery and Dermatology in Centennial, Colorado. D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) (d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Based on review of the laboratory's policies and procedures manual, and an interview with the office manager (not on CMS Form 209), the laboratory director (LD) failed to ensure that the laboratory's policies and procedures manual for histopathology had been approved, signed, and dated by the current LD before use since the laboratory's previous recertification survey was conducted on July 16, 2021. The laboratory conducts approximately 1,000 histopathology tests annually. Findings include: 1. A review of the laboratory's policies and procedures manual for histopathology revealed that the current LD had not approved, signed, or dated the laboratory's policies and procedures for histopathology prior to their use in the laboratory. 2. Based on an interview with the office manager (not on CMS Form 209), on May 23, 2025 at approximately 10:30 AM, confirmed that the current LD had not reviewed, signed, and dated the laboratory's policies and procedures manual for histopathology prior to their use in the laboratory. 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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