Pharos Health, Llc

CLIA Laboratory Citation Details

1
Total Citation
126
Total Deficiencyies
64
Unique D-Tags
CMS Certification Number 19D2062876
Address 11842 Justice Avenue, Baton Rouge, LA
City Baton Rouge
State LA

Citation History (1 survey)

Survey - October 25, 2018

Survey Type: Complaint

Survey Event ID: L8V412

Deficiency Tags: D0000 D2010 D3031 D5205 D5217 D5300 D5311 D5317 D5393 D5400 D5401 D5403 D5411 D5415 D5417 D5421 D5423 D5429 D5435 D5441 D5469 D5783 D5793 D5805 D5793 D6013 D6014 D6016 D6020 D6022 D6023 D6024 D6023 D6030 D6024 D6046 D6063 D6064 D6033 D6046 D6063 D6064 D6065 D6076 D6086 D6087 D6093 D6094 D6096 D6098 D6100 D6101 D6102 D6103 D6106 D3031 D5205 D5217 D5300 D5311 D5317 D5393 D5400 D5401 D5403 D5411 D5415 D5417 D5421 D5423 D5429 D5435 D5441 D5469 D5783 D6000 D5805 D6000 D6013 D6014 D6016 D6020 D6022 D6029 D6031 D6033 D6029 D6030 D6031 D6065 D6076 D6086 D6087 D6093 D6094 D6096 D6098 D6100 D6101 D6102 D6103 D6106 D6108 D6111 D6120 D6125 D6141 D6143 D6146 D6168 D6170 D6171 D6168 D6170 D6171 D8103 D6108 D6111 D6120 D6125 D6141 D6143 D6146 D8100 D8103 D8100

Summary:

Summary Statement of Deficiencies D0000 A Revisit Survey was performed at Acadian Diagnostic Laboratories, LLC-CLIA # 19D2062876 on October 23, 2018 through October 25, 2018. Acadian Diagnostic Laboratories, LLC was found not in compliance with the following CONDITION LEVEL DEFICIENCIES: 42 CFR 493.1420 CONDITION: Preanalytic Systems 42 CFR 493.1250 CONDITION:Analytic Systems 42 CFR 493.1403 CONDITION: Laboratories performing moderate complexity testing; Laboratory Director 42 CFR 493.1441 CONDITION: Laboratories performing high complexity testing; Laboratory Director =================================================================== 36645 A Complaint Survey # LA00046831 was performed at Acadian Diagnostic Laboratories, LLC-CLIA # 19D2062876 on October 30, 2017 through November 3, 2017. Acadian Diagnostic Laboratories, LLC was found not in compliance with the following CONDITION LEVEL DEFICIENCIES which constitute an IMMEDIATE JEOPARDY to the patients serviced by the laboratory: 42 CFR 493.1420 CONDITION: Preanalytic Systems 42 CFR 493.1250 CONDITION:Analytic Systems 42 CFR 493.1403 CONDITION: Laboratories performing moderate complexity testing; Laboratory Director 42 CFR 493.1409 CONDITION: Laboratories performing moderate complexity testing; Technical Consultant 42 CFR 493.1421 CONDITION: Laboratories performing moderate complexity testing; Testing personnel 42 CFR 493.1441 CONDITION: Laboratories performing high complexity testing; Laboratory Director 42 CFR 493.1447 CONDITION: Laboratories performing high complexity testing; Technical Supervisor 42 CFR 493.1459 CONDITION: Laboratories performing high complexity testing; General Supervisor 42 CFR 493.1487 CONDITION: Laboratories performing high complexity testing; Testing personnel 42 CFR 493.1771 CONDITION: Inspection Requirements Applicable to ALL CLIA-Certified and CLIA- Exempt Laboratories Instruments that are not classified by the Food and Drug Administration (FDA) are considered laboratory developed tests under CLIA. These instruments, as well as any FDA approved moderate complexity instrument that has been modified are considered high complexity and are subject to the CLIA regulations for Establishment and Verification of performance specifications (42 CFR 493.1253(b)(2) and all other high complexity CLIA requirements. 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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