Pender Medical Clinic

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 28D0453581
Address 958 Wellness Way, Suite 1, Pender, NE, 68047-4518
City Pender
State NE
Zip Code68047-4518
Phone402 385-3033
Lab DirectorMELINDA STREHLE

Citation History (1 survey)

Survey - November 20, 2019

Survey Type: Standard

Survey Event ID: F4O611

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of the laboratory's list of tests performed, lack of documentation, and interview with the laboratory director at 2:24 PM on 11/20/2019, the laboratory failed to verify the accuracy for post vasectomy sperm count. Findings are: 1. Review of the laboratory's list of tests performed revealed the laboratory performing post vasectomy sperm count testing for the past 2 years. 2. No documentation could be presented through proficiency testing or laboratory comparison to verify the accuracy of this testing. 3. Interview with the laboratory director revealed the laboratory had not enrolled the laboratory in proficiency testing or had comparison testing performed for this analyte. 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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