Provo Dermatology

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 46D2287855
Address 1355 N University Ave Suite 160, Provo, UT, 84604
City Provo
State UT
Zip Code84604
Phone(385) 475-2116

Citation History (1 survey)

Survey - September 11, 2024

Survey Type: Standard

Survey Event ID: RFVV11

Deficiency Tags: D5217

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 --

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