Metropolitan Area Ems Authority

CLIA Laboratory Citation Details

1
Total Citation
60
Total Deficiencyies
32
Unique D-Tags
CMS Certification Number 45D2198589
Address 2900 Alta Mere Dr, Fort Worth, TX, 76116
City Fort Worth
State TX
Zip Code76116
Phone(817) 923-3700

Citation History (1 survey)

Survey - August 29, 2022

Survey Type: Standard

Survey Event ID: XEXC11

Deficiency Tags: D5211 D5400 D5403 D5413 D5421 D5400 D5441 D5413 D5421 D5439 D5775 D0000 D2000 D2007 D2015 D5211 D5439 D5403 D5445 D5447 D5469 D5537 D5441 D5781 D5447 D6000 D6004 D6007 D6013 D6015 D6004 D6007 D6023 D5445 D5791 D5469 D5537 D5775 D5781 D5791 D6000 D6020 D6021 D6013 D6015 D6020 D6021 D6023 D6063 D6065 D6024 D6030 D6031 D6053 D6024 D6030 D6031 D6053 D6063 D6065

Summary:

Summary Statement of Deficiencies D0000 An entrance conference was held with the laboratory representatives. The survey process was discussed, and survey forms were provided. An opportunity for questions and comments was given. Noted deficiencies and plans of correction were discussed with the laboratory representatives at the exit conference. The laboratory representatives were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be NOT in compliance with the CLIA conditions for specialties /subspecialties surveyed for 42 CFR 493.801 Enrollment and testing of proficiency testing samples 493.1250 Analytic Systems 493.1403 Laboratory Director, (moderate complexity) 493.1421 Laboratories performing moderate complexity testing; testing personnel Note: The CMS 2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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