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 review of laboratory records, lack of documentation, and interview with laboratory director (LD); the laboratory failed to perform bi-annual evaluations for one of one high complexity test system: Mohs dermatopathology testing in 2024. Findings Include: 1. Review of laboratory records found no bi-annual method accuracy evaluations for Mohs dermatopathology testing in 2024. 2. Interview with the LD on 10-07-25 at 01:30 pm confirmed that no bi-annual method accuracy evaluation had been performed for Mohs Dermatopathology testing in 2024. 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 --