Marvel Laboratories, Llc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 25D2129747
Address 805 West Park Avenue Ste 5a, Greenwood, MS, 38930
City Greenwood
State MS
Zip Code38930
Phone(662) 336-1141

Citation History (1 survey)

Survey - February 22, 2018

Survey Type: Standard

Survey Event ID: 589K11

Deficiency Tags: D6057 D6056

Summary:

Summary Statement of Deficiencies D6056 CLINICAL CONSULTANT CFR(s): 493.1415 The laboratory must have a clinical consultant who meets the qualification requirements of 493.1417 of this part and provides clinical consultation in accordance with 493.1419 of this part. This CONDITION is not met as evidenced by: Based on review of the CMS-209 Laboratory Personnel Report, lack of qualifying documentation for a clinical consultant, and confirmation by the laboratory director at 12:30 pm on day of survey, 2/22/18, the laboratory did not have anyone designated as clinical consultant. D6057 CLINICAL CONSULTANT QUALIFICATIONS CFR(s): 493.1417 The clinical consultant must be qualified to consult with and render opinions to the laboratory's clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must-- (a) Be qualified as a laboratory director under 493. 1405(b)(1), (2), or (3)(i); or (b) Be a doctor of medicine, doctor of osteopathy or doctor of podiatric medicine and possess a license to practice medicine, osteopathy or podiatry in the State in which the laboratory is located. This STANDARD is not met as evidenced by: Based on review of the CMS 209 personnel form, review of personnel records, and confirmation by the lab director at 12:30 pm on the day of survey (2/22/18), the laboratory did not have an individual qualified to perform the duties of the clinical consultant. 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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