Summary:
Summary Statement of Deficiencies D0000 A recertification survey conducted on 08/23/2023 found the FORT LAUDERDALE DERMATOLOGY, PLLC clinical laboratory not in compliance with 42 CFR Part 493, Requirements for Laboratories. D5805 TEST REPORT CFR(s): 493.1291(c) The test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of patient reports, patient log, patient slides and interview, the laboratory failed to include correct slide number in one out of six patient reports reviewed from 01/05/2021 to 07/25/2023. Findings included: Review of six final patient reports for Mohs surgery: patient # 1 (dated 01/05/2021), patient # 2 (dated 08 /03/2021), patient # 3 (dated 02/01/2022), patient # 4 (dated 08/02/2022), patient # 5 (dated 01/03/2023) and patient # 6 (dated 07/25/2023) revealed that Patient # 4 report listed the slide number for the Mohs surgery as 106. Review of patient log and patient slide revealed that the correct slide number was 105. During an interview on 08/23 /2023 at 11:30 AM, the laboratory consultant confirmed that the final report for patient # 4 did not include the correct slide number. 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 --