Epiphany Dermatology, Pa

CLIA Laboratory Citation Details

1
Total Citation
7
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 45D2125271
Address 2504 Ridge Rd Suite 102, Rockwall, TX, 75087
City Rockwall
State TX
Zip Code75087
Phone(214) 771-3100

Citation History (1 survey)

Survey - September 24, 2021

Survey Type: Standard

Survey Event ID: NNBO11

Deficiency Tags: D5413 D5417 D6121 D6121 D0000 D5413 D5417

Summary:

Summary Statement of Deficiencies D0000 An entrance conference was held with the laboratory representative. The survey process was discussed and survey forms were provided. An opportunity for questions and comments was given. Noted deficiencies and plans of correction were discussed with the laboratory representative at the exit conference. The laboratory representative was given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be in COMPLIANCE with applicable Conditions of Participation in the CLIA program, and recertification is recommended. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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