Shield T3, Llc

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 52D2201015
Address 2115 Observatory Dr, Madison, WI, 53706
City Madison
State WI
Zip Code53706
Phone(800) 859-7442

Citation History (1 survey)

Survey - April 20, 2021

Survey Type: Complaint, Standard

Survey Event ID: 495611

Deficiency Tags: D3005 D3005

Summary:

Summary Statement of Deficiencies D3005 FACILITIES CFR(s): 493.1101(a)(3) Molecular amplification procedures that are not contained in closed systems have a uni-directional workflow. This must include separate areas for specimen preparation, amplification and product detection, and, as applicable, reagent preparation. This STANDARD is not met as evidenced by: Based on surveyor observation of the biological safety cabinet and interview with the laboratory manager, the master mix reagent preparation is not in a separate area different from the sample loading area to provide a uni-directional workflow. Findings include: 1. Observation of the biological safety cabinet on April 20, 2021 at 2:20 PM, showed sample loading of the plates for amplification. Further observation revealed the area where the master mix was prepared was the same area where the sample loading occurred. 2. Interview with the laboratory manager, Staff A, on April 20, 2021 at 2:20 PM confirmed the master mix reagent preparation is not in a separate area different from the sample loading area to provide a uni-directional workflow. 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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