Laser Skin Care Center

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 05D2142371
Address 11 Almond Tree Ln, Irvine, CA, 92612
City Irvine
State CA
Zip Code92612
Phone(949) 749-4985

Citation History (1 survey)

Survey - July 1, 2025

Survey Type: Standard

Survey Event ID: H9CN11

Deficiency Tags: D5815

Summary:

Summary Statement of Deficiencies D5815 TEST REPORT CFR(s): 493.1291(h) (h) When the laboratory cannot report patient test results within its established time frames, the laboratory must determine, based on the urgency of the patient test(s) requested, the need to notify the appropriate individual(s) of the delayed testing. This STANDARD is not met as evidenced by: Based on review of laboratory's policies and procedures, patient test records review from 12/14/2023 to 06/05/2025, and interview with the technical consultant (TC); the laboratory failed to have a policy for turn-around time (TAT) for all histopathology tests performed in the laboratory. 1. The laboratory failed to provide TAT of testing for five (5) out of five (5) randomly selected patients at the time of the survey (July 1, 2025). The laboratory did not provide a TAT policy which may adversely impact patient management. 2. The laboratory TC on July 1, 2025, at approximately 11:45 a. m. affirmed that the laboratory did not have a TAT policy to notify any delay on testing to the submitters. 3. The laboratory's testing declaration form, signed by the laboratory director on 6/20/25025, stated that the laboratory performs approximately 5 tests annually. 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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