Summary:
Summary Statement of Deficiencies D2020 BACTERIOLOGY CFR(s): 493.823(a) Failure to attain an overall testing event score of at least 80 percent is unsatisfactory performance. This STANDARD is not met as evidenced by: Based on review of College of American Pathologist (CAP) Proficiency Testing (PT) results and interview with the laboratory director, the laboratory failed to have satisfactory results in bacteriology in 1 out of 1 event. The findings include: Review of CAP PT records for year 2016 showed a score of 67 % for Bacteriology in 2016 2nd event. During an interview with the laboratory director at 12:00 pm on March 8th 2018 he confirmed that the laboratory failed PT for bacteriology specialty in 2016 second event. D2122 HEMATOLOGY CFR(s): 493.851(b) Failure to attain an overall testing event score of at least 80 percent is unsatisfactory performance. This STANDARD is not met as evidenced by: Based on review of College of American Pathologist (CAP) Proficiency Testing (PT) results and interview with the laboratory director, the laboratory failed to have satisfactory results in hematology in 1 out of 1 event. The findings include: Review of CAP PT records for year 2017 showed a score of 76 % for Hematology in 2017 1st event. During an interview with the laboratory director at 12:00 pm on March 8th 2018 he confirmed that the laboratory failed PT for hematology specialty in 2017 first event. 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 --