Summary:
Summary Statement of Deficiencies D2123 HEMATOLOGY CFR(s): 493.851(c) (c) Failure to participate in a testing event is unsatisfactory performance and results in a score of 0 for the testing event. Consideration may be given to those laboratories failing to participate in a testing event only if-- (1) Patient testing was suspended during the time frame allotted for testing and reporting proficiency testing results; (2) The laboratory notifies the inspecting agency and the proficiency testing program within the time frame for submitting proficiency testing results of the suspension of patient testing and the circumstances associated with failure to perform tests on proficiency testing samples; and (3) The laboratory participated in the previous two proficiency testing events. This STANDARD is not met as evidenced by: Based on surveyor review of 2024 proficiency testing (PT) documentation, review of patient reports, and interview with the laboratory director the laboratory failed to participate in cell identification/white blood cell differential for proficiency testing 2024 event 1, 2024 event 2, and 2024 event 3. Findings are: 1. Review of 2024 PT records revealed the laboratory did not report cell identification/white blood cell differential in 2024 event 1, 2024 event 2, and 2024 event 3. 2. Review of patient reports revealed the laboratory reported out cell identification/white blood cell differential in 2024. 3. Interview with the laboratory director on 1/6/2025 at 10:41 AM, confirmed the laboratory did not report cell identification/white blood cell differential on their 2024 PT and the laboratory did report out cell identification/white blood cell differential on patient reports. 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 --