Summary:
Summary Statement of Deficiencies D0000 The Dermatology Specialists of San Antonio PLLC DBA San Marcos Dermatology laboratory was found to be in compliance with the Conditions of the CLIA regulations found at 42 CFR 493.1 through 493.1780, CLIA requirements for laboratories as a result of an initial survey on February 25, 2026 and certification is recommended. Standard level deficiency was cited. D5805 TEST REPORT CFR(s): 493.1291(c) (c) The test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of the patient test reports, Mohs map, and slides, the laboratory failed to include a stage in the test report for one of six Mohs test reports reviewed from July 2025 - February 2026. Findings follow. A. Review of six randomly selected Mohs cases from July 2025 - February 2026 showed Mohs case MS26-022 was missing a Stage in the visit notes which also served as the patient test report. Review of the visit notes for the Mohs Surgery only documented 1 stage. B. Review of the Mohs map showed there were 2 stages. C. Review of the case slides showed a total of three slides labeled for stages 1 and 2. D. Interview with the Office Manager on February 25, 2026 at 1100 hours in the patient room confirmed the findings. 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 --