Integrated Medical Services

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 03D2084233
Address 10815 W Mcdowell Rd, Ste 203, Avondale, AZ, 85392
City Avondale
State AZ
Zip Code85392
Phone602 633-3848
Lab DirectorRIYAZ SUMAR

Citation History (1 survey)

Survey - January 12, 2022

Survey Type: Standard

Survey Event ID: 9M8811

Deficiency Tags: D5407

Summary:

Summary Statement of Deficiencies D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Based on review of the laboratory's test procedure for the Chem8+ test performed on the I-Stat analyzer and interview with the facility personnel, the laboratory failed to have the current laboratory director approve and sign the test procedure before use. Findings include: 1. The laboratory began patient testing using the Chem8+ test cartridge on the I-Stat analyzer in June 2020. 2. The Chem8+ policy and test procedure presented for review during the survey conducted on January 12, 2022 was not approved, signed and dated by the current laboratory director before use. The policy was signed by the laboratory director on 1/12/2021. 3. The facility personnel confirmed that the test procedure indicated above was not approved, signed and dated by the current laboratory director before use. 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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