Midstate Skin Institute Llc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 10D2213761
Address 17653 N Dale Mabry Hwy, Lutz, FL, 33548
City Lutz
State FL
Zip Code33548
Phone(813) 590-2120

Citation History (1 survey)

Survey - May 2, 2025

Survey Type: Standard

Survey Event ID: N6NB11

Deficiency Tags: D5803 D0000

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Midstate Skin Institute LLC on 04/29/25 - 05/02/2025. The laboratory is not in compliance with 42 CFR Part 493, Requirements for Laboratories. The following is a description of the standard level deficiency: D5803 TEST REPORT CFR(s): 493.1291(b) (b) Test report information maintained as part of the patient's chart or medical record must be readily available to the laboratory and to CMS or a CMS agent upon request. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory was unable to provide two (Patient #2, #3) of three patient test reports (Patients #1- #3). Findings included: Patient test reports were reviewed. Patient #2 and #3's reports were unavailable. The lab Histology Technician confirmed the two reports were not available on 04/29/2025 at 11:30 a.m. Electronic communication, received 05/02/2025 at 3:15 pm, confirmed Patient #2 and #3's reports were unavailable. 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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