Gulfstream Genomics Llc

CLIA Laboratory Citation Details

1
Total Citation
74
Total Deficiencyies
37
Unique D-Tags
CMS Certification Number 45D2096977
Address 9301 N Central Expressway Tower 2 Suite 335, Dallas, TX, 75225
City Dallas
State TX
Zip Code75225
Phone(972) 630-6400

Citation History (1 survey)

Survey - March 30, 2018

Survey Type: Standard

Survey Event ID: NEI312

Deficiency Tags: D0000 D3001 D3005 D5217 D5300 D5311 D5391 D5400 D5401 D5391 D5413 D5415 D5411 D5413 D5441 D5469 D5793 D5801 D6076 D6083 D6086 D6076 D6083 D6086 D6102 D6094 D6106 D6107 D6102 D6103 D6106 D6107 D6108 D6109 D6115 D6117 D3000 D0000 D3000 D3001 D3005 D5217 D5300 D5311 D5411 D5400 D5401 D5417 D5423 D5415 D5417 D5423 D5441 D5469 D5793 D5801 D6093 D6094 D6096 D6099 D6093 D6103 D6096 D6099 D6108 D6109 D6115 D6117 D6127 D6134 D6135 D6127 D6134 D6135

Summary:

Summary Statement of Deficiencies D0000 Summary of Deficiencies from a Follow-Up Revisit of 03/26/2018 to 3/30/2018: During an onsite revisit completed on 3/30/2018 it was determined that the facility had abated immediate jeopardy to patients served by the laboratory by ceasing patient testing on 7/12/2017. The facility remains out of compliance and requires additional time to remediate patients and demonstrate compliance: D3000 - 42 C.F.R. 493.1100 Condition: Facility administration; D5300 - 42 C.F.R. 493.1240 Condition: Preanalytic systems; D5400 - 42 C.F.R. 493.1250 Condition: Analytic systems; D6076 - 42 C.F.R. 493.1441 Condition: Laboratories performing high complexity testing; laboratory director; The facility representative was given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. 36914 The laboratory was found to be out of compliance with the CLIA regulations. Immediate jeopardy findings were identified. The conditions not met were: D3000 - 42 C.F.R. 493.1100 Condition: Facility administration; D5300 - 42 C.F.R. 493.1240 Condition: Preanalytic systems; D5400 - 42 C.F.R. 493.1250 Condition: Analytic systems; D6076 - 42 C.F.R. 493.1441 Condition: Laboratories performing high complexity testing; laboratory director; D6108 - 42 C.F.R. 493.1447 Condition: Laboratories performing high complexity testing; technical supervisor; D6134 - 42 C.F.R. 493.1453 Condition: Laboratories performing high complexity testing; clinical consultant; The facility representative was given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. Note: The CMS- 2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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