Island Dermatology

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 05D1056357
Address 360 San Miguel Dr, Ste 501, Newport Beach, CA, 92660
City Newport Beach
State CA
Zip Code92660
Phone(949) 720-1170

Citation History (1 survey)

Survey - September 14, 2023

Survey Type: Standard

Survey Event ID: B7ZP11

Deficiency Tags: D5217

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 observation of the Leica CM1520 cryostat, serial number 1028, and the Unico and the Nikon microscopes; review of laboratory records from 2021 - 2023, and interview with laboratory administrative personnel, the laboratory failed to verify the accuracy of testing performed by Mohs surgeon-Y in 2022. Findings included: 1. Review of Mohs records dated 1/05/22 and 5/25/22 documented Mohs surgeon-Y as performing the procedures. 2. The laboratory failed to provide for review 2022 records verifying the accuracy of Mohs procedures performed by Mohs surgeon-Y. 3. Laboratory administrative personnel affirmed (9/14/23 at 11:00am) the aforementioned findings. 4. The reliability and quality of procedures performed by Mohs surgeon-Y in 2022 could not be assured in the absence of records at least twice annually verifying the accuracy of 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 --

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