Pph Of Northern, Ctrl & Souther No New Jersey, Inc

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 31D0668204
Address 800 West Main Street, Freehold, NJ, 07728
City Freehold
State NJ
Zip Code07728
Phone(800) 230-7526

Citation History (1 survey)

Survey - June 5, 2018

Survey Type: Standard

Survey Event ID: DLWU11

Deficiency Tags: D5411

Summary:

Summary Statement of Deficiencies D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(a) Test systems must be selected by the laboratory. The testing must be performed following the manufacturer's instructions and in a manner that provides test results within the laboratory's stated performance specifications for each test system as determined under 493.1253. This STANDARD is not met as evidenced by: Based on surveyor review of the Accession Log (AL), Manufacturer Package Insert (MPI) and interview with the Testing Personnel (TP), the laboratory failed to follow the MPI for Rhesus (Rh) factor test at the time of survey. The findings include: 1. The MPI and AL stated Eldon Bag RhD-25 "expires six month after first opening". 2. The laboratory did not put new expiration date on the Eldon bag and in AL. 3. The laboratory was not aware that expiration date shortens once Eldon bag is opened 4. The TP # 2 listed on CMS form 209 confirmed on 6/8/18 at 1:10 pm the laboratory failed to follow the MPI. 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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