Mowery Clinic, Llc

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 17D0452333
Address 655 South Santa Fe, Salina, KS, 67401
City Salina
State KS
Zip Code67401
Phone(785) 827-7261

Citation History (1 survey)

Survey - August 27, 2018

Survey Type: Standard

Survey Event ID: JB7611

Deficiency Tags: D5413

Summary:

Summary Statement of Deficiencies D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on review of the manufacturer's package insert instructions and interview with the Laboratory Director (LD), the laboratory failed to define criteria for storage conditions that were essential for the proper storage of quality control (QC) reagents that were consistent with the manufacturer's instructions. Findings Include: 1. Review of the manufacturer's package insert instructions for the hCG serum QC material found the following directions: KIT STORAGE AND STABILITY Do Not Freeze. 2. The LD stated that hCG serum QC material was shipped frozen from a sister laboratory for use in this laboratory. The interview occurred 08/27/2018 at 11:08 AM. 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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