Revere Health Provo Dermatology

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 46D2277901
Address 1055 N 500 W Suite 111, Provo, UT
City Provo
State UT

Citation History (1 survey)

Survey - January 26, 2026

Survey Type: Standard

Survey Event ID: 14JF11

Deficiency Tags: D6120

Summary:

Summary Statement of Deficiencies D6120 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(7)(8) (b)(7) Identifying training needs and assuring that each individual performing tests receives regular in-service training and education appropriate for the type and complexity of the laboratory services performed; (b)(8) Evaluating the competency of all testing personnel and assuring that the staff maintain their competency to perform test procedures and report test results promptly, accurately and proficiently. This STANDARD is not met as evidenced by: Based on lack of competency documentation and interview with the Office Manager, the laboratory failed to evaluate competency for KOH testing for 2 out of 5 Testing Personnel (TP) for the years 2024 and 2025. Findings include: 1. A laboratory record review revealed lack of competency documentation for KOH testing since the last survey on 4/04/2024 for 2 out of 5 TP. 2. Interview with Office Manager on 1/26 /2026 at approximately 11:32 a.m. confirmed that the laboratory failed to document competency for KOH testing for 2 out of 5 TP. 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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