Restoration Dermatology

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 44D2260126
Address 3803 Bedford Ave Ste 102, Nashville, TN, 37215
City Nashville
State TN
Zip Code37215
Phone(615) 249-4700

Citation History (1 survey)

Survey - March 4, 2025

Survey Type: Standard

Survey Event ID: G1LV11

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 observation of the laboratory, review of laboratory policy and procedure, Quality Assurance records, and staff interviews, the laboratory failed to verify the accuracy of Mohs micrographic surgery (Mohs) histopathology testing at least twice annually in 2023 and 2024. The findings include: 1. An observation of the laboratory on 03/04/2025 at 08:30 a.m. revealed equipment and stains used for preparing slides from tissue removed during Mohs surgical procedures. 2. A review of the Proficiency Testing section of the Quality Assurance policy revealed a requirement for random selections of Mohs surgical cases to be chosen biannually for proficiency testing. 3. A review of the Quality Assurance Proficiency Testing records revealed that cases had been reviewed on 07/24/2023, 12/16/2024, and 02/04/2025. 4. An interview with the Laboratory Director and the Clinic Supervisor on 03/04/2025 at 11:30 a.m. confirmed that the laboratory failed to verify accuracy of Mohs testing at least twice annually in 2023 and 2024. 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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