Quest Diagnostics Inc Shenandoah Community Health

CLIA Laboratory Citation Details

1
Total Citation
6
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 51D2087651
Address 99 Tavern Road, Martinsburg, WV, 25401
City Martinsburg
State WV
Zip Code25401
Phone410 314-1546
Lab DirectorKIMBERLY ADAMS

Citation History (1 survey)

Survey - June 2, 2021

Survey Type: Standard

Survey Event ID: 8FZS11

Deficiency Tags: D0000 D6056 D6057 D0000 D6056 D6057

Summary:

Summary Statement of Deficiencies D0000 An announced, on site, recertification survey was conducted at Quest Diagnostics Incorporated on June 2, 2021, by the West Virginia Office of Laboratory Services. The laboratory was surveyed to assess compliance with the Federal Clinical Laboratory Improvement Amendment (CLIA) regulations under 42 CFR 493. Specific deficiencies are explained below. D6056 CLINICAL CONSULTANT CFR(s): 493.1415 The laboratory must have a clinical consultant who meets the qualification requirements of 493.1417 of this part and provides clinical consultation in accordance with 493.1419 of this part. This CONDITION is not met as evidenced by: Based on record review and interview the laboratory has no qualified clinical consultant under CFR 493.1417. Findings: 1. Review of laboratory personnel files, documented education, and the CMS-209 form identified no qualified clinical consultant. See D6057 2. An interview with the lab director, 6/3/2021 at approximately 1:00 pm, confirmed the findings. D6057 CLINICAL CONSULTANT QUALIFICATIONS CFR(s): 493.1417 The clinical consultant must be qualified to consult with and render opinions to the laboratory's clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must-- (a) Be qualified as a laboratory director under 493. 1405(b)(1), (2), or (3)(i); or (b) Be a doctor of medicine, doctor of osteopathy or doctor of podiatric medicine and possess a license to practice medicine, osteopathy or podiatry in the State in which the laboratory is located. 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 -- This STANDARD is not met as evidenced by: Based on record review and interview the laboratory has no qualified clinical consultant under sections (a) or (b) of CFR 493.1417. Findings: 1. Review of personnel files, documented education, and CMS-209 form identified the following laboratory personnel: Laboratory director qualifies under CFR 493.1405(a)(b)5 Technical consultant qualifies under CFR 493.1411(a)(b)4 2. Review of personnel files and documented education identified no qualified personnel for the position of clinical consultant. 3. An interview with the laboratory director, on 6/3/2021 at approximately 1:00 PM, confirmed the findings. -- 2 of 2 --

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