Summary:
Summary Statement of Deficiencies D2107 ENDOCRINOLOGY CFR(s): 493.843(f) Failure to achieve satisfactory performance for the same analyte or test in two consecutive testing events or two out of three consecutive testing events is unsuccessful performance. This STANDARD is not met as evidenced by: Based on a desk review of proficiency testing (PT) records from the CMS report 0155D and phone interview, the laboratory failed to achieve satisfactory performance in PT for the regulated analyte TSH for two of three consecutive testing events. Findings: A review of proficiency testing records from the PT provider WSLH Proficiency Testing for the regulated analyte TSH revealed the following performance scores for the periods indicated: 1. Third testing event, 2020 revealed a score 0% 2. First testing event, 2021 revealed a score of 40% Phone interview with the laboratory director on Friday, April 2, 2021 at 4 p.m. confirmed, the laboratory failed to achieve satisfactory performance in PT for the regulated analyte TSH for two of three consecutive testing events. 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 --