Covid Clinic, Inc

CLIA Laboratory Citation Details

2
Total Citations
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 15D2195862
Address 800 N Green River Rd, Evansville, IN, 47715
City Evansville
State IN
Zip Code47715
Phone(812) 474-0055

Citation History (2 surveys)

Survey - March 25, 2022

Survey Type: Special

Survey Event ID: 0WJF11

Deficiency Tags: D1002

Summary:

Summary Statement of Deficiencies D1002 REPORTING OF SARS-CoV-2 TEST RESULTS During the Public Health Emergency, as defined in 400.200 of this chapter, each laboratory that performs a test that is intended to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (hereinafter referred to as a "SARS-CoV-2 test") must report SARS-CoV-2 test results to the Secretary in such form and manner, and at such timing and frequency, as the Secretary may prescribe. This CONDITION is not met as evidenced by: Based on record review and interview the laboratory failed to report SARS-CoV-2 test results for 160 of 191 days reviewed from September 13, 2021, to March 23, 2022. Findings include: 1. In interview, on 3/23/2022 at 12:45 pm, SP3, Regional Manager, indicated SARS-CoV-2 testing using the Indicaid Rapid Antigen tests and Accula SARS-CoV2 Tests started on September 13, 2021, and continues through March 23, 2022. SP2 was unable to provide a number of how many patients had been tested using the rapid SARS-CoV-2 tests. 2. In email, on 3/24/2022 at 2:25 pm, SP4, Territory Director, indicated that since opening the site has conducted 1,918 rapid covid tests. 3. In email, on 3/25/2022 at 9:01 pm, ERC1, Indiana Epidemiology Resource Center contact, confirmed 125 results had been reported to the state as of March 23, 2022. The laboratory began reporting on February 24, 2022, and the earliest test date submitted was February 20, 2022. 3. The laboratory performed 1,918 SARS-CoV-2 tests during the period of review. 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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Survey - March 23, 2022

Survey Type: Complaint

Survey Event ID: 0LIS11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found to be in substantial compliance with CLIA regulations (42 CFR 493, effective April 24, 2003). No deficiencies were cited. 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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