Rock Run Family Medicine

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 46D1044291
Address 5640 S 3500 W, Roy, UT, 84067
City Roy
State UT
Zip Code84067
Phone(801) 773-2838

Citation History (1 survey)

Survey - April 15, 2019

Survey Type: Complaint

Survey Event ID: A0NQ11

Deficiency Tags: D1001 D1001

Summary:

Summary Statement of Deficiencies D1001 CERTIFICATE OF WAIVER TESTS CFR(s): 493.15(e) Laboratories eligible for a certificate of waiver must-- (1) Follow manufacturers' instructions for performing the test; and (2) Meet the requirements in subpart B, Certificate of Waiver, of this part. This STANDARD is not met as evidenced by: Based on an on-site unannounced complaint survey conducted on 04/15/2019, the laboratory failed to follow the Afinion HbA1C (Hemoglobin A1C) and Alere Cholestech Lipid test cartridge manufacturer's instructions to label cartridges with the dates the cartridges were removed from 2 to 8 degree storage, and document they performed quality control for HbA1C cartridges. 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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