Summary:
Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Pine Island Dermatology, LLC on August 18, 2026. The laboratory was surveyed under 42 CFR Part 493 CLIA requirements. Standard deficiency cited is as follows: D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) (d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory failed to use Scott's Tap Water that was not expired for Mohs surgery testing. Finding Included: 1. Review of laboratory reagent log revealed Scott's Tap Water lot:2432703 expired 12/09/2025 in use from December 2025 to February 2026. 2. Review of Quality Control on Reagents, Solutions and Special Stains signed by the Laboratory Director on 1/8/2026 read, "Reagents that have expired or are no longer suitable for use must be disposed properly." 3. Review of Mohs Accession Log revealed 24 patients were testing Mohs surgery testing in January 2026 and 35 patients were testing Mohs surgery testing in February 2026. 4. On 8/18/2026 at 1:31 PM, the Risk Manager confirmed the Scott's Tap Water was expired. 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 --