Healthstat On-Site Clinic - Reo

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 06D2001260
Address 5505 Airport Blvd, Boulder, CO, 80301
City Boulder
State CO
Zip Code80301
Phone(303) 650-4460

Citation History (1 survey)

Survey - May 31, 2018

Survey Type: Complaint

Survey Event ID: DMT111

Deficiency Tags: D1001

Summary:

Summary Statement of Deficiencies D1001 CERTIFICATE OF WAIVER TESTS CFR(s): 493.15(e) Laboratories eligible for a certificate of waiver must-- (1) Follow manufacturers' instructions for performing the test; and (2) Meet the requirements in subpart B, Certificate of Waiver, of this part. This STANDARD is not met as evidenced by: Based on a review of the operator's manual and staff interview, the laboratory failed to follow the manufacturer's instructions for the LifeScan OneTouch Ultra Glucose Meter. Approximately 10 patient specimens are tested annually. Findings include: a. The manufacturer requires the testing of the control solution once a week, whenever a new bottle of test strips is first opened, whenever the meter is dropped, and whenever it is suspected that the meter or test strips are not working properly. b. No documentation existed to show that the laboratory had tested the control solution once a week. c. The manufacturer requires that the control solution, meter, and test strips be at room temperature (68to 77F/20to 25C) before testing. d. No documentation existed to show that the laboratory had monitored and documented the room temperature each day of testing. e. The manufacturer requires a testing environment of 10 to 90% relative humidity. f. No documentation existed to show that the laboratory had monitored and documented the ambient humidity of the testing environment each day of testing. g. The laboratory director stated she was unaware of these regulatory requirements, and confirmed she had not been following the manufacturer's instructions for the weekly testing of the control solution, and for ensuring the environmental conditions of the testing environment as required by the manufacturer and federal CLIA regulation. 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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