Dermatology Consultants

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 24D0691540
Address 3555 Willow Lake Blvd #240, Vadnais Heights, MN, 55110
City Vadnais Heights
State MN
Zip Code55110
Phone(651) 770-0110

Citation History (2 surveys)

Survey - October 23, 2019

Survey Type: Standard

Survey Event ID: 96NX11

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: . Based on document review and interview with laboratory personnel, the laboratory failed to perform and document activities used to verify the accuracy of a Microbiology test procedure at least twice annually in 2018. Findings are as follows: 1. The laboratory performed the Tzanck Microscopic Examination for viruses under the specialty of Microbiology as confirmed by the Site Manager (SM) during a tour of the laboratory at 1:05 p.m. on 10/23/19. 2. Documentation of the Tzanck twice annual verification of accuracy was not found for 2018 during review of laboratory records. The laboratory was unable to provide the verification documentation upon request. 3. Laboratory records indicated five patients received Tzanck testing in 2018. 4. In an interview at 2:15 p.m. on 10/23/19, the SM confirmed the above finding. 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 - January 12, 2018

Survey Type: Standard

Survey Event ID: PEEZ12

Deficiency Tags: D5429 D5417 D5609

Summary:

Summary Statement of Deficiencies No Tags No deficiency details available. 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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