Exodus Healthcare Network

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 46D0522766
Address 3665 South 8400 West, Suite 110, Magna, UT, 84044
City Magna
State UT
Zip Code84044
Phone(801) 250-9638

Citation History (1 survey)

Survey - August 14, 2019

Survey Type: Standard

Survey Event ID: ID3011

Deficiency Tags: D5211 D5211

Summary:

Summary Statement of Deficiencies D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(a) The laboratory must review and evaluate the results obtained on proficiency testing performed as specified in subpart H of this part. This STANDARD is not met as evidenced by: Based on proficiency testing records review, lack of documentation and interview with the laboratory manager, the laboratory failed to document they reviewed American Association of Family Physicians (AAFP) proficiency testing reports to evaluate the laboratory's performance for 4 of 5 proficiency testing events reviewed. Findings include: 1. Proficiency testing records reviewed failed to include documentation the test results from AAFP events C of 2017; B and C of 2018; and A of 2019 were reviewed. 2. In an interview with the laboratory manager on 08/14/2019 at approximately 4:55 P.M. staff confirmed the proficiency testing records failed to include documentation results were reviewed for 4 proficiency testing events for routine chemistry, urinalysis, potassium hydroxide preparations, endocrinology, and hematology tests. 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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