Palm Harbor Dermatology Pa

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 10D2152749
Address 600 Lakeview Rd Suite A, Clearwater, FL, 33756
City Clearwater
State FL
Zip Code33756
Phone(727) 250-1115

Citation History (1 survey)

Survey - December 6, 2018

Survey Type: Standard

Survey Event ID: JDOK11

Deficiency Tags: D5407

Summary:

Summary Statement of Deficiencies D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Based on record review and interview with the Office Manager, the laboratory failed to have the procedure manual signed by the Laboratory Director prior to laboratory testing of patient specimens. Findings include: 1. Record review of the laboratory's procedure manual revealed that the procedure manual had not been signed by the Laboratory Director before patient testing. 2. In an interview on 12/06/2018 at 01:30 PM, the Office Manager confirmed the procedure manual had not been signed by the Laboratory Director. 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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