Northwest Renal Clinic

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 38D0690386
Address 1130 Nw 22nd Ave Ste 640, Portland, OR, 97210
City Portland
State OR
Zip Code97210
Phone(503) 229-7976

Citation History (1 survey)

Survey - November 2, 2021

Survey Type: Standard

Survey Event ID: OFVQ11

Deficiency Tags: D5217 D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of bi-annual verification records for microscopic urinalysis and interview with the Technical Consultant (TC), the laboratory failed to ensure providers participated in bi-annual verification twice a year. Findings include: 1. For the year 2020, three (3) out of six (6) providers did not complete bi-annual verification for microscopic urinalysis. 2. For the year 2021, first half (January - June), one (1) out of six (6) providers did not complete bi-annual verification for microscopic urinalysis. 3. An interview with the TC during survey November 2, 2021 at approximately 12:00 pm confirmed these findings. 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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