Summary:
Summary Statement of Deficiencies D0000 A recertification survey was conducted on March 4, 2022. Gastroenterology Specialists of Orlando clinical laboratory was not in compliance with 42 CFR 493, requirements for clinical 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 record review and staff interview, the laboratory's Surgical Pathology Report failed to list the complete address of the laboratory where testing was performed for five of five (#1, #2, #3, #4, #5) patients' pathology reports reviewed. Findings: Review of the Surgical Pathology Report for five of five (#1, #2, #3, #4, #5) patients showed only the city, state and zip code of the laboratory was listed. The reports failed to list the street address of the laboratory. On 03/04/2022 at 11:31 AM, the General Supervisor stated the full address of the laboratory was not listed. 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 --