Summary:
Summary Statement of Deficiencies D5313 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL CFR(s): 493.1242(b) The laboratory must document the date and time it receives a specimen. This STANDARD is not met as evidenced by: Based on the surveyor's review of the laboratory's records for result reporting and an interview with laboratory personnel (LP) on 5/27/2022 between 9:00 a.m. and 10:30 a. m, it was determined that some of the MOHS reports did not have a procedure date. Findings include: 1. On 5/27/22, an inspection was conducted between 9:00 a.m and 10:30 a.m. 2. During an audit of patient records and the associated MOHS slides, it was noted that 2 of the 5 internal pathology MOHS reports were missing the procedure date. 3. The procedure date on the slide must match the associated pathology MOHS report. 4. The LP recognized the above results. 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 --