Mission Dermatopathology Laboratory Pllc

CLIA Laboratory Citation Details

2
Total Citations
24
Total Deficiencyies
9
Unique D-Tags
CMS Certification Number 45D2142369
Address 2620 Mccullough Avenue, San Antonio, TX, 78212
City San Antonio
State TX
Zip Code78212
Phone(210) 664-4675

Citation History (2 surveys)

Survey - September 1, 2021

Survey Type: Standard

Survey Event ID: SEN111

Deficiency Tags: D0000 D5217 D6168 D6171 D0000 D5217 D6168 D6171

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found to be out of compliance based on the following CONDITION LEVEL DEFICIENCY: D6168 - 42 C.F.R. 493.1487 Condition: Testing Personnel; high complexity Noted deficiencies and plans of correction were discussed with the laboratory representative at the exit conference. The facility representative was given an opportunity to provide evidence of compliance with noted deficiencies and no such evidence was provided prior to survey exit. 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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Survey - July 18, 2019

Survey Type: Standard

Survey Event ID: SJF711

Deficiency Tags: D0000 D5421 D6108 D6111 D0000 D5421 D6108 D6111 D6141 D6143 D6141 D6143 D6168 D6171 D6168 D6171

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found to be out of compliance based on the following CONDITION LEVEL DEFICIENCIES: D6108 - 42 C.F.R. 493.1447 Condition: Technical Supervisor D6141 - 42 C.F.R. 493.1459 Condition: General Supervisor D6168 - 42 C.F.R. 493.1487 Condition: Testing Personnel; high complexity Noted deficiencies and plans of correction were discussed with the laboratory representative at the exit conference. The facility representative was given an opportunity to provide evidence of compliance with noted deficiencies and no such evidence was provided prior to survey exit. 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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