Med 360 Urgent Care Northport Llc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 01D2275483
Address 3250 Mcfarland Blvd, Northport, AL, 35476
City Northport
State AL
Zip Code35476
Phone205 632-3875
Lab DirectorKAVITA VARM

Citation History (2 surveys)

Survey - December 19, 2025

Survey Type: Standard

Survey Event ID: IMB011

Deficiency Tags: D5417

Summary:

Summary Statement of Deficiencies D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) (d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on a review of the Hematology Quality Control (QC) records, and an interview with the Technical Consultant, the laboratory used expired QC reagent on the Sysmex XP-300 Hematology analyzer prior to patient testing. The surveyor noted the laboratory utilized expired QC for 6 of 31 days of patient testing in December 2023. The findings include: 1. A review of the Hematology QC records revealed the QC was performed on 12/14/2023 through 12/19/2023; all three levels of QC expired 12/13 /2023. 2. During an interview on 12/19/2025, at 2:12 PM, the Technical Consultant confirmed the above findings. 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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Survey - November 16, 2023

Survey Type: Standard

Survey Event ID: 7O1911

Deficiency Tags: D5413 D5429

Summary:

Summary Statement of Deficiencies D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on a review of the temperature records, QuantStudio user manual, Sysmex XP 300 technical support, and an interview with the Technical Supervisor, the Laboratory failed to ensure room temperature for the Sysmex XP 300 Hematology analyzer and QuantStudio PCR analyzers was documented. This was noted for three of three months. The findings include: 1. A review of the temperature records for the Sysmex XP 300 Hematology analyzer and QuantStudio PCR analyzers revealed the room temperature was not documented from August through November 16, 2023. 2. A further review of the Sysmex XP 300 and QuantStudio user manual revealed the QuantStudio Enviromental Requirements Table 2, "Operating Conditions Temperature: 15-30 degrees Celcius." 3. A call to Sysmex Technical Support confirmed the optimal temperature for the Sysmex XP 300 analyzer is 15-30 degrees Celcius. 4. During an interview on November 16, 2023, at 1:00 PM, the Technical Supervisor confirmed the above findings. D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory 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 -- must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on a review of the Hematology maintenance records, the Sysmex XP 300 user manual, and an interview with the Technical Supervisor, the Laboratory failed to document daily, weekly, and monthly maintenance on the Sysmex XP 300 Hematology analyzer as per the manufacturer's requirements for three of three months in 2023. The findings include: 1. A review of the Sysmex XP 300 Hematology analyzer records revealed no documentation of the daily, weekly, and monthly maintenance from August through November 16, 2023. 2. A further review of the Sysmex XP 300 user manual revealed: a) Page 8, "ShutdownDaily Maintenance Procedure" b) Page 9, "Weekly Maintenance- Clean the SRV tray" c) Page 10, "Monthly Maintenance- Clean Waste Chamber (Rinse Sequence)" 2. During an interview on November 16, 2023, at 12:30 PM, the Technical Supervisor confirmed the above findings. -- 2 of 2 --

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