Seymour Family Physicians

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 44D0862513
Address 11657 Chapman Hwy, Seymour, TN, 37865-5047
City Seymour
State TN
Zip Code37865-5047
Phone865 577-4836
Lab DirectorWESLEY PAYNE

Citation History (1 survey)

Survey - February 12, 2019

Survey Type: Standard

Survey Event ID: REDM11

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 laboratory's and, as applicable, the manufacturer's 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 review of CBC Quality Control (QC) records for November 9, 2018, CBC QC not tested until after patient CBC testing and upon interview with the Laboratory Manager, determined the laboratory failed to ensure CBC QC was acceptable before reporting seven patient CBC results on 11/09/2018. The findings include: 1. Review of Hematology Complete Blood Count (CBC) quality control records for November 9, 2018. 2. CBC quality control documented at 6:31 p.m. with seven patient CBC's documented between 10:11 a.m. and 3:57 p.m. on 11/09/2018. 3. Interview with the Laboratory Manager at approximately 12:30 p.m. February 12, 2019 confirmed that CBC quality control was not ran prior to seven patient CBC's tested and reported on 11/09/18. ===================================== 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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