Oakview Dermatology

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 36D2142743
Address 80 Star Drive, Chillicothe, OH, 45601
City Chillicothe
State OH
Zip Code45601
Phone(740) 672-2160

Citation History (2 surveys)

Survey - February 3, 2022

Survey Type: Standard

Survey Event ID: DTOR11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 A remote survey conducted 02/03/2022 found the Oakview Dermatology laboratory to be in compliance with 42 CFR Part 493 requirement for laboratories. 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 - September 12, 2019

Survey Type: Standard

Survey Event ID: O0Y811

Deficiency Tags: D5401 D5401

Summary:

Summary Statement of Deficiencies D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on document review and an interview with the Laboratory Manager (LM), laboratory personnel failed to follow the written procedure manual for Quality Assurance. This deficient practice had the potential to affect all patients tested under the subspecialty of histopathology. Findings include: 1. Review of the Mohs laboratory policy titled, "Quality Assurance", approved by the Laboratory Director 01 /04/2019, found the following statement: "Procedure: Monthly, lab personnel will check off the Monthly Quality Assurance Checklist. This will cover the quality assessment program for procedures used in this office. This checklist is used to evaluate General Laboratory Systems, Pre-Analytic Systems, Analytic Systems, and Post Analytic Systems." 2. The surveyor requested the monthly checklists from the LM at 10:08 AM, 09/12/2019. 3. The LM stated there were no monthly quality assurance checklists and was unable to provide the requested documents. 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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