Dermatology Associates Lake Oswego

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 38D2314333
Address 4004 Kruse Way Place, Ste 220, Lake Oswego, OR, 97035
City Lake Oswego
State OR
Zip Code97035
Phone(503) 245-2415

Citation History (1 survey)

Survey - July 29, 2025

Survey Type: Standard

Survey Event ID: IFHI11

Deficiency Tags: D3009 D3009

Summary:

Summary Statement of Deficiencies D3009 FACILITIES CFR(s): 493.1101(c) The laboratory must be in compliance with applicable Federal, State, and local laboratory requirements. This STANDARD is not met as evidenced by: Based on a review of maintenance records and an interview with the clinic manager, the laboratory failed to perform and document weekly inspections for the eye wash stations. Findings include: 1. Request a review of maintenance records for the eye wash stations, which revealed the facility was unable to produce such records. 2. Oregon OSHA requires eyewash stations to be inspected weekly for proper functionality and annually for compliance with safety standards. Weekly inspections involve activating the unit to ensure it functions and delivers water properly. Annual inspections are more thorough, ensuring the station meets the requirements of ANSI Z358.1. 3. An interview with the clinic manager at 12:45 p.m. on 07/29/2025 confirmed that the laboratory is not performing weekly inspections. 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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