Forefront Dermatology, S C

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 15D1020689
Address 4020 New Vision Dr, Fort Wayne, IN, 46845
City Fort Wayne
State IN
Zip Code46845
Phone(260) 423-2567

Citation History (1 survey)

Survey - August 23, 2018

Survey Type: Standard

Survey Event ID: B3VG11

Deficiency Tags: 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 document review and interview, the laboratory failed to verify the accuracy of Mohs Surgery testing at least twice in 2017. Findings include: 1. Review of documents titled: "Quality Control for Mohs Micrographic Survey" indicated the laboratory performed a verification of the accuracy of Mohs Surgery testing once in 2017 (11-28-2017). 2. In interview on 8-23-2018 at 1:31 PM, SP1 acknowledged verification of the accuracy of Mohs Surgery testing was performed only once in 2017. 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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