Havensight Medical Laboratory Inc

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 48D0945126
Address 9003 Havensight Rd Ste 312, St Thomas, VI, 00802
City St Thomas
State VI
Zip Code00802
Phone(340) 774-1900

Citation History (1 survey)

Survey - May 17, 2019

Survey Type: Standard

Survey Event ID: W1GK11

Deficiency Tags: D2055

Summary:

Summary Statement of Deficiencies D2055 PARASITOLOGY CFR(s): 493.829(e) Failure to achieve an overall testing event score of satisfactory performance for two consecutive testing events or two out of three consecutive testing events is unsuccessful performance. This STANDARD is not met as evidenced by: Based on interview with the technical supervisor/general supervisor and review of proficiency testing records, the laboratory failed to achieve satisfactory scores for second and third events of PT Parasitology subspecialty in 2018. The findings included: a. The technical supervisor/general supervisor explained she did not realize the sample numbering was changed for the different events. She explained, previously each event the samples were numbered 1-5. However, AAB PT program changed the numbering to consecutive numbers for the second and third events, like 6-10 for the second event and 11-15 for the third events. She explained she submitted the lab's PT result of the first event for the second event, thinking the sample numbering (1-5) was the same for the second event. The laboratory scored 20% for the third sample of second events, which was also the same response for the third sample of first event. b. The laboratory scored 33% for the third event for failure to identify specimen # 4 and #5. CMS laboratory consultant verified failure by calling AAB PT program on 5/23 /2019 at around 12:30. Laboratory reported Crytosporodium parvum incorrectly fro specimen #4. The correct response was Cyclospora. Laboratory reported E.hartmani incorrectly for sample #5. The correct response was E. nana. c. The laboratory scored 100% for first event of 2019. 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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