Convenientmd Urgent Care Newburyport

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 22D2159165
Address 35 Storey Avenue, Newburyport, MA, 01950
City Newburyport
State MA
Zip Code01950
Phone(978) 225-6607

Citation History (1 survey)

Survey - May 24, 2021

Survey Type: Standard

Survey Event ID: 423M11

Deficiency Tags: D0000 D6054

Summary:

Summary Statement of Deficiencies D0000 A CLIA recertification survey was conducted for the ConvenientMD Urgent Care Newburyport laboratory pursuant to the Clinical Laboratory Improvement Amendments (CLIA) of 1988 and CLIA regulations at 42 CFR 493. 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 record review and interview with the Testing Person 1 (TP1) on 5/24/21, the Technical Consultant (TC) failed to evaluate and document the performance of individuals responsible for moderate complexity testing at least annually, after the first year as evidenced by the following: The surveyor reviwed the personnel competency records for 2020 and 2021on 5/24/21. The review revealed that an annual competency evaluation was not performed and documented at least anually for two (2) testing personnel after the first year. TP1 confirmed in an interview on 5/24/21 at 11: 58 A.M. that the TC failed to perform and document annual competency evaluations for TP1 and TP6 after the first year. 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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