Longstreet Clinic

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 11D0261382
Address 725 Jesse Jewel Parkway, Gainesville, GA, 30501
City Gainesville
State GA
Zip Code30501
Phone770 297-5935
Lab DirectorRODNEY SMITH

Citation History (2 surveys)

Survey - December 13, 2023

Survey Type: Standard

Survey Event ID: NNUB11

Deficiency Tags: D0000 D3011

Summary:

Summary Statement of Deficiencies D0000 On January 03, 2024 an off site follow-up review was completed. The report revealed that the

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Survey - August 6, 2019

Survey Type: Standard

Survey Event ID: UXIS11

Deficiency Tags: D5209 D0000

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) Recertification survey was completed on August 06, 2019. The laboratory was not in compliance with applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiencies were cited: D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: A review of laboratory personnel records and an interview with the laboratory manager, revealed that the laboratory director failed to provide annual Competency Assessment for ALL its testing personnel. Findings include: 1. A review of testing personnel records revealed there was no competency evaluations for testing personnel (TP#s 3,4,5,7 CMS 209) in 2018. 2. An interview with the laboratory manager on August 06, 2019 at 12:36 PM in the review room confirmed that there were no annual competencies performed on testing personnel #s 3,4,5 and 7 on CMS 209. 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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