Pediatric Associates Inc

CLIA Laboratory Citation Details

2
Total Citations
7
Total Deficiencyies
6
Unique D-Tags
CMS Certification Number 10D0902571
Address 400 N Hiatus Rd Ste 105, Pembroke Pines, FL, 33026
City Pembroke Pines
State FL
Zip Code33026
Phone954 965-7754
Lab DirectorEILEEN KIANG

Citation History (2 surveys)

Survey - May 14, 2026

Survey Type: Standard

Survey Event ID: 4C2411

Deficiency Tags: D0000 D2007

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at PEDIATRIC ASSOCIATES on May 14, 2026. The laboratory was surveyed under 42 CFR Part 493 CLIA requirements. Standard deficiencies cited are as follows: D2007 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) (b)(1) The samples must be examined or tested with the laboratory's regular patient workload by personnel who routinely perform the testing in the laboratory, using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on record review and staff interview, the Laboratory failed to have all testing personnel (TP) rotate through the testing of Proficiency Testing (PT) in the Specialty of Chemistry for four (1st, 2nd, 3rd in 2025 and 1st in 2026) out of six events reviewed from 2024 (2nd, 3rd), 2025 (1st, 2nd, 3rd) and 2026 (1st). Findings included: 1- Review of form CMS-209 signed and dated by the Laboratory Director (LD) on 05/14/2026 revealed that the laboratory had six Testing Personnel (TP-A, TP- B, TP-C, TP-D, TP-E, TP-F) listed. 2- Review of personnel files revealed that TP-A, TP-B, TP-C, TP-D, TP-E were TP in 2025 and 2026. 3- Review of the policy LAB 410 Proficiency testing effective ate 05/05/2024 stated "Analytical Phase - All Laboratory testing personnel will rotate testing events equally, using the API test schedule table (including part time personnel)." 4- Review of American Proficiency Institute (API) PT records for Chemistry 1st, 2nd, and 3rd in 2025 and 1st in 2026 revealed that TP-A performed all five events. 5- During interview on 05/14/2026 at approximately 2:45 PM, the Laboratory Lead confirmed that the laboratory failed to have all testing personnel rotate for Chemistry in 2025 and 1st event in 2026. 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 31, 2024

Survey Type: Standard

Survey Event ID: 98N311

Deficiency Tags: D0000 D3031 D5447 D6168 D6171

Summary:

Summary Statement of Deficiencies D0000 A recertification survey was conducted from May 16, 2024 to May 31, 2024. PEDIATRIC ASSOCIATES INC clinical laboratory was not in compliance with 42 CFR 493, requirements for clinical laboratories. Cited the following Condition: D6168 - Testing Personnel 493.1487 D3031 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(3) Analytic systems records. Retain quality control and patient test records (including instrument printouts, if applicable) and records documenting all analytic systems activities specified in 493.1252 through 493.1289 for at least 2 years. This STANDARD is not met as evidenced by: Based on record review and interview the laboratory failed to retain records for Quality Control (QC) for one out 25 days reviewed during November 2023. Findings included: 1-Review of Quality Control/Quality Assurance (QA) logs for November 2023 revealed that the high control was repeated on 11/17/2023 and the testing personnel documented the identified problem as "High Control out of range" with

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