Novant Health Child & Adolescent Medical Group

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 34D2104002
Address 3614 S Providence Road, Suite 101, Waxhaw, NC, 28173
City Waxhaw
State NC
Zip Code28173
Phone704 384-8460
Lab DirectorLORI YANCHIK-CASTRO

Citation History (2 surveys)

Survey - August 14, 2025

Survey Type: Standard

Survey Event ID: UXVE11

Deficiency Tags: D0000 D0000

Summary:

Summary Statement of Deficiencies D0000 The Novant Health Child and Adolescent Medical Group laboratory was found in compliance with 42 CFR Part 493 Requirements for Laboratories as a result of an on- site survey performed August 14, 2025. 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 - May 1, 2023

Survey Type: Standard

Survey Event ID: M7N011

Deficiency Tags: D5209 D5209

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on review of laboratory policy, review of testing personnel (TP) competency assessment records and interview with technical consultant (TC) 5/1/23, the laboratory failed to ensure the competency assessment policy was followed for performing direct observation assessments of TP competency. Findings: Review of laboratory policy "Personnel Competency Assessment" revealed "V. Procedure 1. Team Member Competency Assessment Plan...a. Non-Waived Testing: ...Competency assessments for each individual non-waived test must include all of the following elements that are applicable to the individual's duties: 1. Direct observations of routine patient test performance, including patient preparation, if applicable, specimen collection/handling, and the processing of each test...4. Direct observations of performance of instrument maintenance and function checks....". Review of random TP competency assessment records revealed "Subtask 1 Direct Observation - Observe patient or quality control testing, OR Personnel able to correctly verbalize testing procedure...Subtask 5 Maintenance- Record date of maintenance performed, OR Observe maintenance, OR Personnel able to correctly verbalize maintenance procedure, including frequency". The competency assessment records include an option to "correctly verbalize testing procedure" and "correctly verbalize maintenance procedure" instead of performing direct observations as required. Interview with TC at approximately 2:30 p.m. confirmed the laboratories competency assessments included the option to verbalize testing and maintenance procedures instead of performing direct observations. She stated that verbalizing is used occasionally when direct observations are unable to be performed. 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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