Summary:
Summary Statement of Deficiencies D5311 SPECIMEN SUBMISSION, HANDLING, AND REFERRAL CFR(s): 493.1242(a) (a) The laboratory must establish and follow written policies and procedures for each of the following, if applicable: (a)(1) Patient preparation. (a)(2) Specimen collection. (a)(3) Specimen labeling, including patient name or unique patient identifier and, when appropriate, specimen source. (a)(4) Specimen storage and preservation. (a)(5) Conditions for specimen transportation. (a)(6) Specimen processing. (a)(7) Specimen acceptability and rejection. (a)(8) Specimen referral. This STANDARD is not met as evidenced by: Based on review of Mohs accession logs, patient slides, Standard Operating Procedures (SOPs), as well as interview with the General Manager (GM), the laboratory failed to follow written policies and procedures for specimen processing. FINDINGS: 1. One of three Mohs stage V slides was unaccounted for Mohs staged micrographic surgical patient case UT26-208, performed August 14, 2026. 2. An unlabeled patient specimen slide was stored in a cardboard slide tray from Mohs staged micrographic surgeries performed August 14, 2026. 3. These were contrary to instructions included in the Schweiger Dermatology Group Mohs Overview procedure indicating labeling of each slide with patient name, case number, stage, and section number. 4. The GM confirmed the findings on August 18, 2026, at approximately 2: 00 P.M. 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 --