Summary:
Summary Statement of Deficiencies D6063 LABORATORY TESTING PERSONNEL CFR(s): 493.1421 The laboratory must have a sufficient number of individuals who meet the qualification requirements of 493.1423, to perform the functions specified in 493. 1425 for the volume and complexity of tests performed. This CONDITION is not met as evidenced by: Based on lab director interview and review of testing personnel education records, the laboratory did not ensure that laboratory testing personnel who attended a foreign school had an evaluation of their credentials determining equivalency of foreign to United States education. See D6065 D6065 TESTING PERSONNEL QUALIFICATIONS CFR(s): 493.1423(b)(1)(2)(3)(4)(i) (b) Meet one of the following requirements: (b)(1) Be a doctor of medicine or doctor of osteopathy licensed to practice medicine or osteopathy in the State in which the laboratory is located or have earned a doctoral, master's, or bachelor's degree in a chemical, physical, biological or clinical laboratory science, or medical technology from an accredited institution; or (b)(2) Have earned an associate degree in a chemical, physical or biological science or medical laboratory technology from an accredited institution; or (b)(3) Be a high school graduate or equivalent and have successfully completed an official military medical laboratory procedures course of at least 50 weeks duration and have held the military enlisted occupational specialty of Medical Laboratory Specialist (Laboratory Technician); or (b)(4)(i) Have earned a high school diploma or equivalent; and This STANDARD is not met as evidenced by: Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- Based on lab director interview and review of testing personnel education records, the laboratory did not ensure that laboratory testing personnel who attended a foreign school had an evaluation of their credentials determining equivalency of foreign to United States education. Findings: 1. A review of educational records revealed that 2 of 3 testing personnel hired after the previous CLIA survey on 5/22/2017 had diplomas from foreign schools. 2. Missing were evaluations of their credentials to determine equivalency of foreign to United States education. 3. The laboratory director confirmed these findings on 7/19/2019 at 4:00 pm -- 2 of 2 --