Premier Primary Care

CLIA Laboratory Citation Details

1
Total Citation
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 37D2047709
Address 1109 E Cherokee, Sallisaw, OK, 74955
City Sallisaw
State OK
Zip Code74955
Phone405 343-4600
Lab DirectorMOHAMMED ELMANNAN

Citation History (1 survey)

Survey - August 12, 2025

Survey Type: Standard

Survey Event ID: R5GZ11

Deficiency Tags: D0000 D5413 D5413

Summary:

Summary Statement of Deficiencies D0000 The initial survey was performed on 08/12/2025. The laboratory was found in compliance with standard-level deficiencies cited. The findings were reviewed with the general supervisor at the conclusion of the survey. D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) (b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (b)(1) Water quality. (b)(2) Temperature. (b)(3) Humidity. (b)(4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on observation and interview with the laboratory director and general supervisor, the laboratory failed to ensure four of four packages of Copan ESwab 480c collection devices were stored as required by the manufacturer in the storage area located outside the laboratory. Findings include: (1) Observation of the storage area located outside the laboratory and interview with the laboratory director and general supervisor on 08/12/2025 at 10:05 am, identified the following: (a) Two packages of Copan ESwab 480c collection devices, lot #N40277000, storage temperature requirement of 5-25 degrees (C) centigrade; (b) Two packages of Copan ESwab 480c collection devices, lot #N50006700, storage temperature requirement of 5-25 degrees (C) centigrade; (2) Interview with the laboratory director and general supervisor on 08/12/2025 at 10:20 am confirmed the laboratory was not monitoring the temperature of the storage area located outside of the laboratory. 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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