New Dermatology Group Ltd

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 52D2134666
Address 2360 Duck Creek Pkwy, Green Bay, WI, 54303
City Green Bay
State WI
Zip Code54303
Phone(920) 965-0345

Citation History (2 surveys)

Survey - May 25, 2023

Survey Type: Standard

Survey Event ID: EGMG11

Deficiency Tags: D6171 D5781 D6168 D6171

Summary:

Summary Statement of Deficiencies D5781

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Survey - July 30, 2019

Survey Type: Standard

Survey Event ID: 48MZ11

Deficiency Tags: D5821

Summary:

Summary Statement of Deficiencies D5821 TEST REPORT CFR(s): 493.1291(k) When errors in the reported patient test results are detected, the laboratory must do the following: (k)(1) Promptly notify the authorized person ordering the test and, if applicable, the individual using the test results of reporting errors. (k)(2) Issue corrected reports promptly to the authorized person ordering the test and, if applicable, the individual using the test results. (k)(3) Maintain duplicates of the original report, as well as the corrected report. This STANDARD is not met as evidenced by: Based on surveyor review of patient test reports and laboratory procedures, and interview with testing personnel, the laboratory has not retained duplicate copies of the original report when the laboratory issued a corrected report. Findings include: 1. Review of the test report for patient one showed the report included a correction. The original report was not available. 2. Review of laboratory procedures showed the procedures did not require retention of the original report when the laboratory makes a correction to the report. 3. Interview with testing personnel, staff A, on July 30, 2019 at 11:00 AM confirmed the laboratory has not retained a copy of the original report when the laboratory issued a corrected 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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