Epiphany Dermatology Of Oklahoma, Llc

CLIA Laboratory Citation Details

1
Total Citation
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 37D2137233
Address 10115 E 80th St, Ste A, Tulsa, OK, 74133
City Tulsa
State OK
Zip Code74133
Phone(918) 994-4400

Citation History (1 survey)

Survey - October 23, 2025

Survey Type: Standard

Survey Event ID: MX3I11

Deficiency Tags: D5417 D0000 D5417

Summary:

Summary Statement of Deficiencies D0000 The recertification survey was performed on 10/23/2025. The laboratory was found in compliance with a standard-level deficiency cited. D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) (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 the clinic supervisor, the laboratory failed to ensure expired supplies were not available for use. Findings include: (1) Observation of the laboratory on 10/23/2025 at 09:30 am, identified the following expired supplies were available for use: (a) Fifty BBL Culture Swab Plus collection and transport system, Lot 231507100, Expired on 08/18/2025; (b) One bottle of Avantik CoverMount, Lot 173125, Expired on 04/08/2025; (c) One bottle of Avantik Tissue Marking Dye (Blue), Lot 180073, Expired on 09/30/2025. (2) Interview with the clinic supervisor on 10/23/2025 at 09:30 am confirmed the expired supplies were available for use. 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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