Comprehensive Healthcare Associates & Prevention

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 23D0371059
Address 15645 Farmington Road, Livonia, MI, 48154
City Livonia
State MI
Zip Code48154
Phone(734) 464-7600

Citation History (1 survey)

Survey - February 11, 2020

Survey Type: Standard

Survey Event ID: XKR711

Deficiency Tags: D2015 D5293 D2015 D5293

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: . Based on record review and interview with Testing Personnel #1 (TP1), the laboratory failed to maintain a copy of the Medical Laboratory Evaluation (MLE) final PT report, signed attestation statement sheets, review of the final graded PT reports, and the documentation of

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