Jefferson Obstetrics & Gynecology Pc

CLIA Laboratory Citation Details

1
Total Citation
8
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 33D1002355
Address 12 Medical Drive Suite A, Port Jefferson Station, NY, 11776
City Port Jefferson Station
State NY
Zip Code11776
Phone(631) 331-4400

Citation History (1 survey)

Survey - March 4, 2020

Survey Type: Special

Survey Event ID: 7MPY11

Deficiency Tags: D5217 D5401 D5403 D5891 D5217 D5401 D5403 D5891

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 the lack of twice yearly verification and confirmed at survey with the office manager, the laboratory failed to verify the accuracy for KOH and Wet Mounts at least twice per year. D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on lack of written standard operating procedures (SOP) and confirmed at survey with the office manager, the laboratory failed to establish written policies /procedures for the KOH and wet mount. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test 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 -- 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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