Consultants Laboratory Of Wi, Llc

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 52D0397671
Address 723 Park Ridge Ln, North Fond Du Lac, WI, 54937
City North Fond Du Lac
State WI
Zip Code54937
Phone(920) 929-9300

Citation History (1 survey)

Survey - March 6, 2023

Survey Type: Standard

Survey Event ID: HAMU11

Deficiency Tags: D6054

Summary:

Summary Statement of Deficiencies D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on surveyor review of personnel competency evaluations and interview with the current technical consultant, staff A, the previous technical consultant did not document the performance of competency for two of two testing personnel annually for 2021 and 2022. Findings include: 1. Review of personnel competency evaluations showed the following: Staff B: Initial and semiannual competency in 2020. Further review showed no additional competency evaluations were documented in 2021 or 2022. Staff C: Initial competency in 2020 and semiannual competency in January 2021. Further review showed no additional competency evaluations in 2021 and 2022. 2. Interview with staff A on March 6, 2023, at 1:25 PM confirmed the previous technical consultant did not document competency performance for two of two testing personnel for the last two years. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access