Mountain Pine Dermatology Pllc

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 13D2167724
Address 211 E Logan St Ste 305, Caldwell, ID, 83605
City Caldwell
State ID
Zip Code83605
Phone(208) 898-7467

Citation History (2 surveys)

Survey - May 26, 2026

Survey Type: null

Survey Event ID: D8LW11

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 direct observation and an interview with the laboratory lead on 5/26/2026, the laboratory failed to discontinue the use of expired Mohs reagents since April 2026. The findings include: 1. A direct observation of the laboratory's reagents on 5/26/2026 identified that the laboratory failed to discontinue the use of the Eosin-Y Vintage stain lot 208517 expiration 2026-03-31 prior to the expiration. 2. An interview with the laboratory lead on 5/26/2026 at 11:12 am confirmed the above finding. 3. The laboratory reports performing 275 Mohs slide examinations annually. 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 - October 30, 2024

Survey Type: Standard

Survey Event ID: 402K11

Deficiency Tags: D5781 D0000

Summary:

Summary Statement of Deficiencies D0000 During an offsite paper revisit the laboratory was found to be in compliance with the CLIA regulations (42 CFR Part 493 effective April 24, 2003.), all previous deficiencies found were corrected. D5781

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