Dermatology Center Of The Palm Beaches

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 10D2006833
Address 5808 Jog Rd, Lake Worth, FL, 33467
City Lake Worth
State FL
Zip Code33467
Phone(561) 968-7546

Citation History (2 surveys)

Survey - August 4, 2026

Survey Type: Standard

Survey Event ID: GQ6W11

Deficiency Tags: D0000 D5891

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Dermatology Center Of The Palm Beaches on August 4, 2026. The laboratory was surveyed under 42 CFR Part 493 CLIA requirements. Standard deficiencies cited are as follows: D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1299(a) (a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess and, when indicated, correct problems identified in the postanalytic systems specified in 493.1291. This STANDARD is not met as evidenced by: Based on record review, and interview, the laboratory failed to follow the policy to document 5 (Patients 1-5) out of 5 Mohs Surgery Operative Reports for body location for Mohs map, nurse name and time in and out for Mohs testing. Findings Included: 1. Review of Mohs Surgery Operative Reports revealed the following: A. Patient 1 Mohs Surgery Operative Report was completed on 11/30/2024 and had no documentation for body location for Mohs map, nurse name or the time in and out for testing. B. Patient 2 Mohs Surgery Operative Report was completed on 12/20/2025 and had no documentation for body location for Mohs map, nurse name or the time in and out for testing. C. Patient 3 Mohs Surgery Operative Report was completed on 2 /14/2026 and had no documentation for body location for Mohs map, nurse name or the time in and out for testing. D. Patient 4 Mohs Surgery Operative Report was completed on 10/18/2025 and had no documentation for body location for Mohs map, nurse name or time in and out for testing. E. Patient 5 Mohs Surgery Operative Report was completed on 7/11/2026 and had no documentation for nurse name or time in and out for testing. 2. Review of Mohs' Laboratory Procedure signed by the Laboratory Director on 10/6/2025 read, "Drawing of the specimen is draw on the Mohs Map." 3. Review of Mohs Micrographic Surgery displayed time in and time out on Mohs Map sheets. 4. Review of Quality Assessment Plan signed by the Laboratory Director on 10 Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- /6/2025 read, "Patient surgical site will be located using the biopsy reports description of location and the doctor visually observing the site on the patient." 5. On 8/4/2026 at 12:00 PM, the Assistant Manager confirmed there was no documentation for 5 out of 5 Mohs Surgery Operative Reports for body location for Mohs map, nurse name or the time in and out for Mohs testing. -- 2 of 2 --

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Survey - December 10, 2019

Survey Type: Standard

Survey Event ID: 5HI211

Deficiency Tags: D5417 D0000

Summary:

Summary Statement of Deficiencies D0000 An announced recertification survey was conducted on 12/10/19 at Skin And Cancer Associates LLP, a clinical laboratory in Lake Worth, Florida. Skin And Cancer Associates LLP is not in compliance with Code of Federal Regulations (CFR), Part 493, requirements for clinical laboratories. D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on observation and interview with laboratory personnel, the laboratory had used reagents that had exceeded their expiration date. The findings included: During a tour of the laboratory on 12/10/19 three unopened and one opened container of xylene substitute, lot # 073275 expiration date 11/01/2019, were observed in the flammable storage cabinet. There were no other containers of xylene substitute in the laboratory. Seven patients were done in November and thirteen were done in December. During an interview with the laboratory consultant at 9:55 a.m. on 12/10/19, he confirmed that the xylene substitute had expired. 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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