Mohs Surgery Laboratory

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 06D0688669
Address 1665 Aurora Ct, Aurora, CO, 80045
City Aurora
State CO
Zip Code80045
Phone(720) 848-0500

Citation History (1 survey)

Survey - January 12, 2022

Survey Type: Standard

Survey Event ID: TP8K11

Deficiency Tags: D5805

Summary:

Summary Statement of Deficiencies D5805 TEST REPORT CFR(s): 493.1291(c) The test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of patient test reports and staff interview, the laboratory failed to include the address of the laboratory location on the final report where testing was performed for MOHs surgery procedures. Findings include: a. The final report contained the name of the clinic but did not indicate the address where testing was performed. b. Staff confirmed the address of the clinic where testing was performed was not included on the final report. 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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