Origin Fertility, Pa

CLIA Laboratory Citation Details

1
Total Citation
7
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 45D2268159
Address 1643 Lancaster Dr Suite 309, Grapevine, TX, 76051
City Grapevine
State TX
Zip Code76051
Phone(817) 840-7700

Citation History (1 survey)

Survey - May 18, 2023

Survey Type: Standard

Survey Event ID: ITLJ11

Deficiency Tags: D5411 D5481 D5543 D5543 D0000 D5411 D5481

Summary:

Summary Statement of Deficiencies D0000 An entrance conference was held with the laboratory representatives. The survey process was discussed and survey forms were provided. An opportunity for questions and comments was given. Noted deficiencies and plans of correction were discussed with the laboratory representatives at the exit conference. The laboratory representatives were given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be in COMPLIANCE with applicable Conditions of Participation in the CLIA program, and recertification is recommended. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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