Primary Care Physicians Llp

CLIA Laboratory Citation Details

1
Total Citation
4
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 28D0454559
Address 12728 Augusta Avenue, Omaha, NE, 68144
City Omaha
State NE
Zip Code68144
Phone402 330-1410
Lab DirectorHALLI IRWIN

Citation History (1 survey)

Survey - June 30, 2021

Survey Type: Standard

Survey Event ID: 61RV11

Deficiency Tags: D6063 D6065 D6063 D6065

Summary:

Summary Statement of Deficiencies D6063 LABORATORY TESTING PERSONNEL CFR(s): 493.1421 The laboratory must have a sufficient number of individuals who meet the qualification requirements of 493.1423, to perform the functions specified in 493. 1425 for the volume and complexity of tests performed. This CONDITION is not met as evidenced by: Based on lack of documentation the laboratory failed to have proof of education on testing personnel #3, as listed on the CMS-209, performing moderate complexity testing. Refer to D6065. D6065 TESTING PERSONNEL QUALIFICATIONS CFR(s): 493.1423(b)(1)(2)(3)(4)(i) (b) Meet one of the following requirements: (b)(1) Be a doctor of medicine or doctor of osteopathy licensed to practice medicine or osteopathy in the State in which the laboratory is located or have earned a doctoral, master's, or bachelor's degree in a chemical, physical, biological or clinical laboratory science, or medical technology from an accredited institution; or (b)(2) Have earned an associate degree in a chemical, physical or biological science or medical laboratory technology from an accredited institution; or (b)(3) Be a high school graduate or equivalent and have successfully completed an official military medical laboratory procedures course of at least 50 weeks duration and have held the military enlisted occupational specialty of Medical Laboratory Specialist (Laboratory Technician); or (b)(4)(i) Have earned a high school diploma or equivalent; and This STANDARD is not met as evidenced by: Based on lack of documentation and interview with the lab director, 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 2 -- failed to have proof of education on one out of three testing personnel performing moderate complexity testing. Findings are: 1. No proof of education documentation for testing personnel #3, as listed on the CMS-209, was presented at time of survey. 2. Interview with the lab director, on 6/30/2021 at 1:20 PM, confirmed no documentation was available. -- 2 of 2 --

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