Savannah Pediatrics Pc

CLIA Laboratory Citation Details

2
Total Citations
9
Total Deficiencyies
8
Unique D-Tags
CMS Certification Number 11D0264907
Address 1000 Town Center Boulevard Suite 301, Pooler, GA, 31322
City Pooler
State GA
Zip Code31322
Phone912 644-4900
Lab DirectorMONICA MANOCHA

Citation History (2 surveys)

Survey - February 25, 2026

Survey Type: Standard

Survey Event ID: 5N9Z11

Deficiency Tags: D5401 D0000

Summary:

Summary Statement of Deficiencies D0000 A Clinical Laboratory Improvement Amendments (CLIA) Recertification Survey was completed on February 25, 2026. 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: D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) (a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: A review of the current Laboratory Procedure Manual confirmed that the procedure manual failed to contain procedures for all tests, assays, and examinations performed by the laboratory or procedures as required by CLIA regulations. THE FINDINGS INCLUDE: 1. A review of current Laboratory Procedure Manual confirmed that the following procedures were not available: a. Complete Blood Cell Count Procedure, b. Down Time Procedure c. Maintenance Procedure d. Personnel Procedure e. Quality Control Procedure f. Quality Assurance Procedure g. Safety Procedure 2. An exit interview, with the Laboratory Director and Testing Personnel, on February 25, 2026, at 1:15pm confirmed that the procedure manual failed to contain procedures for all tests, assays and examinations performed by the laboratory or procedures as required by CLIA regulations. 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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Survey - October 21, 2020

Survey Type: Standard

Survey Event ID: 1I3K11

Deficiency Tags: D2009 D5211 D5439 D0000 D2015 D5221 D5891

Summary:

Summary Statement of Deficiencies D0000 On December 28,2020, an off site followup review was completed. The report revealed that

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