Premier Pediatrics

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 44D0934695
Address 101 Med Tech Parkway, Suite 405, Johnson City, TN, 37604
City Johnson City
State TN
Zip Code37604
Phone(423) 929-2454

Citation History (1 survey)

Survey - January 9, 2020

Survey Type: Standard

Survey Event ID: PNIK11

Deficiency Tags: D6054

Summary:

Summary Statement of Deficiencies D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: =================================== Based on a review of the laboratory's employee competency evaluations and upon interview with the Laboratory Coordinator, determined the Technical Consultant failed to perform and document annual competency evaluations for 2 of 3 testing personnel for 2019. The findings include: 1. A review of employee competency evaluations for testing personnel #1 and #3 disclosed no annual competency evaluations documented for 2019. 2. Interview with Laboratory Coordinator at approximately 12:15 p.m. on January 9, 2020 confirmed the Technical Consultant failed to perform and document annual competency evaluations for testing personnel #1 and #3 for 2019. =================================== 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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