Revive Medical Center, Llc

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 01D2277640
Address 1728 11th Ave, Haleyville, AL, 35565
City Haleyville
State AL
Zip Code35565
Phone205 485-7822
Lab DirectorCHENYI CHENYI

Citation History (1 survey)

Survey - November 4, 2025

Survey Type: Standard

Survey Event ID: FCKK11

Deficiency Tags: D5481

Summary:

Summary Statement of Deficiencies D5481 CONTROL PROCEDURES CFR(s): 493.1256(f)(g) (f) Results of control materials must meet the laboratorys and, as applicable, the manufacturers test system criteria for acceptability before reporting patient test results. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on a review of the Cardiac quality control (QC) records, the patient results log, and an interview with the Laboratory owner, the laboratory failed to ensure two levels of quality control were acceptable and documented every 30 days per the manufacturers requirements. This was noted for 152 days out of 12 months reviewed in 2024 through 2025. The findings include: 1. A review of the Cardiac QC records for the Quidel Triage analyzer revealed the following dates QC was not performed or documented every 30 days: a) QC performed on 10/4/2024 and 11/11/2024; 6 days late. b) QC performed on 11/11/2024 and 12/19/2024; 8 days late. c) QC performed on 12/19/2024 and 2/13/2025; 24 days late. d) QC performed on 2/13/2024 and 4/2 /2025; 20 days late. e) QC performed on 5/31/2025 and 10/3/2025; 94 days late. 2. A further review of the patient log revealed the following dates patients were affected: a) 6/8/2025; 1 patient affected. b) 7/11/2025; 1 patient affected. c) 9/17/2025; 1 patient affected. d) 9/22/2025; 2 patient affected. e) 9/23/2025; 1 patient affected. f) 9/28 /2025; 1 patient affected. 2. During an interview on 11/3/2025 at 2:33 PM, the Laboratory owner confirmed the above findings. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access