Patricia A. Brotman, M.D. Inc., Lab

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 05D0927395
Address 15944 Los Serranos Country Club Dr, Ste 180, Chino Hills, CA, 91709-3990
City Chino Hills
State CA
Zip Code91709-3990
Phone909 393-3393
Lab DirectorPATRICIA MD

Citation History (1 survey)

Survey - January 23, 2025

Survey Type: Standard

Survey Event ID: S6T611

Deficiency Tags: D5429

Summary:

Summary Statement of Deficiencies D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) (a)(1) Maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on the surveyor's review of the laboratory's preventive maintenance (PM) documentation, five (5) randomly selected patient test records for Micrographic Skin Cancer Surgeries (Mohs), and an interview with the office manager (OM), it was determined that the laboratory failed to ensure the function checks as defined by the manufacturer were reviewed and documented properly prior to patient testing. The findings include: 1. Based on the surveyor 's review of patient test records and PM documentation, it was determined that no

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