Prestige Emergency Room Llc

CLIA Laboratory Citation Details

1
Total Citation
60
Total Deficiencyies
30
Unique D-Tags
CMS Certification Number 45D2104727
Address 2810 N Loop 1604 W, Suite 110, San Antonio, TX, 78248
City San Antonio
State TX
Zip Code78248
Phone(210) 504-4837

Citation History (1 survey)

Survey - May 16, 2019

Survey Type: Standard

Survey Event ID: THXZ11

Deficiency Tags: D0000 D2015 D0000 D2015 D3031 D5200 D5209 D5211 D5213 D5221 D5291 D5400 D5411 D5417 D5429 D5439 D3031 D5200 D5209 D5211 D5213 D5221 D5291 D5400 D5411 D5417 D5429 D5439 D5441 D5445 D5469 D5783 D5791 D6000 D6018 D6019 D6020 D6021 D6029 D6033 D6042 D6053 D6054 D6066 D5441 D5445 D5469 D5783 D5791 D6000 D6018 D6019 D6020 D6021 D6029 D6033 D6042 D6053 D6054 D6066

Summary:

Summary Statement of Deficiencies D0000 The laboratory was found to be out of compliance based on the following CONDITION LEVEL DEFICIENCIES: D5200 - 42 C.F.R. 493.1220 Condition: Lab General Systems D5400 - 42 C.F.R. 493.1250 Condition: Analytic Systems D6000 - 42 C.F.R. 493.1403 Condition: Laboratory Director; moderate complexity D6033 - 42 C.F.R. 493.1409 Condition: Technical Consultant; moderate complexity Noted deficiencies and plans of correction were discussed with the laboratory representative at the exit conference. The facility representative was given an opportunity to provide evidence of compliance with noted deficiencies and no such evidence was provided prior to survey exit. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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