Sandy Plains Pediatrics Pc

CLIA Laboratory Citation Details

2
Total Citations
7
Total Deficiencyies
6
Unique D-Tags
CMS Certification Number 11D0975646
Address 3225 Shallowford Rd Bldg 1300, Marietta, GA, 30062
City Marietta
State GA
Zip Code30062
Phone678 560-7160
Lab DirectorLAURETTE HO

Citation History (2 surveys)

Survey - May 31, 2024

Survey Type: Standard

Survey Event ID: X0XF11

Deficiency Tags: D0000 D5400 D5413 D5441 D6000

Summary:

Summary Statement of Deficiencies D0000 A recertification survey was performed on May 24, 2024. The facility was found to be NOT in compliance with the CLIA conditions and standards for specialties /subspecialties for 42 CFR. CONDITION LEVELS: D5400 - Analytic Systems - 493.1250 D6000 - Moderate Complexity Laboratory Director - 493.1403 NOTE: The CMS-2567 (Statement of Deficiencies) is an official , legal document,. All information must remain unchanged except for entering the

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Survey - March 22, 2018

Survey Type: Standard

Survey Event ID: MP3U11

Deficiency Tags: D0000 D2007

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) recertification survey was completed on March 22, 2018. The laboratory was not in compliance with applicable CLIA requirements found at 42 CFR 493.1 through 42 CFR 493.1780. The following deficiencies were cited: D2007 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The samples must be examined or tested with the laboratory's regular patient workload by personnel who routinely perform the testing in the laboratory, using the laboratory's routine methods This STANDARD is not met as evidenced by: Based on proficiency testing (PT) document review and an interview with the lab director (LD) , the lab failed to rotate PT testing among all testing personnel (TP). Findings include: 1. Review of the American Proficiency Institute (API) attestation documents revealed TP #2 (CMS 209 form) performed all testing events reviewed (2016 #2, & #3; 2017 events #1, #2, & #3). 2. An interview with the LD on March 22, 2018 at approximately 11 AM in the business office meeting area, confirmed the same TP ran all the reviewed PT and the PT was not rotated among all 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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