Integrated Dermatology Of 19th Street Llc

CLIA Laboratory Citation Details

4
Total Citations
21
Total Deficiencyies
17
Unique D-Tags
CMS Certification Number 09D2136624
Address 1145 19th Street Nw Suite 301, Washington, DC, 20036
City Washington
State DC
Zip Code20036
Phone(202) 955-6995

Citation History (4 surveys)

Survey - August 30, 2024

Survey Type: Standard

Survey Event ID: V67811

Deficiency Tags: D5791 D5891 D6118 D5403 D5805 D6096

Summary:

Summary Statement of Deficiencies D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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Survey - June 16, 2022

Survey Type: Standard

Survey Event ID: R4DS11

Deficiency Tags: D5433 D5403 D6094

Summary:

Summary Statement of Deficiencies D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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Survey - January 13, 2020

Survey Type: Standard

Survey Event ID: CJLC11

Deficiency Tags: D5403 D5429 D6093 D5779 D6094

Summary:

Summary Statement of Deficiencies D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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Survey - July 2, 2018

Survey Type: Standard

Survey Event ID: T4KT11

Deficiency Tags: D3001 D5407 D5435 D6106 D5403 D5415 D6083

Summary:

Summary Statement of Deficiencies D3001 FACILITIES CFR(s): 493.1101(a)(1) The laboratory must be constructed, arranged, and maintained to ensure the space, ventilation, and utilities necessary for conducting all phases of the testing process. This STANDARD is not met as evidenced by: Based on observations and interview with the Mohs Technician and a management staff on July 2, 2018 at approximately 1:30 PM and 2:00 PM respectively, the laboratory failed to ensure that an adequate space is provided for staining Mohs surgery slides. The findings included: 1. The laboratory uses a moveable staining station with a table top hood (G-Series Containment Hood). The staff moves the staining station from storage to the laboratory / patient exam room /Mohs room on the days the laboratory performed Mohs procedure. The staining station is placed behind a big unmovable examination chair. 3. The station is on top of a very low table. The Mohs Technician demonstrated to the surveyor how the staff process the slides, by squatting. In addition, due to the height of the table and the position of the exam chair, the lighting inside the hood is inadequate. There is very little room between the chair and the processing station. 4. Interview with the Mohs Technician revealed that he/she had been able to use the station with some difficulty. 5. The lack of adequate space was discussed with management staff at the time of the exit conference. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 4 -- performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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