Summary:
Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on surveyor review of the Biannual Assessment (BA) records and interview with the Mohs Technician, the laboratory failed to verify the accuracy and reliability of Mohs testing twice annually from 10/04/21 to the date of the survey. The findings include: 1. There was no documented evidence a Biannual Assessment for Histopathology tests was performed in the calendar years of 2022 and 2023. 2. The Mohs Technician confirmed on 12/12/23 at 3:30 pm that the laboratory failed to verify the accuracy and reliability of Mohs testing. 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 --