Summary:
Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on record review and interview with the lab manager, the laboratory failed to verify and document the accuracy for microscopic MOHS surgery procedures twice a year. The laboratory performed approximately 80 histopathology tests annually. Finding include: 1. A record review the laboratory records failed to produce records that the laboratory verified the accuracy of microscopic MOHS surgery procedures at least twice a year. 2. Interview with the lab manager on 09/11/2024, at 2:00 PM confirmed the laboratory failed to verify and document the accuracy of microscopic MOHS surgery procedures two times per year. 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 --