Essentia Health Spooner Clinic

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 52D0396920
Address 1180 Chandler Dr, Spooner, WI, 54801
City Spooner
State WI
Zip Code54801
Phone(715) 635-2151

Citation History (1 survey)

Survey - February 4, 2020

Survey Type: Standard

Survey Event ID: SSGJ11

Deficiency Tags: D5217 D5217

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 surveyor review of proficiency testing records and interview with a technical consultant, the laboratory has not verified the accuracy of semi-quantitative sperm counts twice annually. Findings include: 1. Review of proficiency testing records from 2018 and 2019 showed the laboratory did not verify the accuracy of semi-quantitative sperm counts using proficiency samples. 2. Interview with staff A, a technical consultant, on February 4, 2020 at 2:00 PM confirmed the laboratory reports semi-quantitative sperm counts as part of their post-vasectomy semen analysis. Further interview confirmed the laboratory did not verify the accuracy of the test twice annually. 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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